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General NPI Number Information
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NPI Number | 1134119902
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Entity Type | Individual
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Provider Name | JOHN F CARROLL MD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 8 CADILLAC DR SUITE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5087
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Country | US
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Telephone | 615-376-7370
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Fax | 615-376-7575
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Provider Business Mailing Address
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Address Line | 308 N PETERS RD SUITE 225
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City | KNOXVILLE
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State | TN
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Zip | 37922-2327
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Country | US
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Telephone | 865-694-0062
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Fax | 865-694-7907
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0059664
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 42076
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME98706
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2007-01488
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 89587
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 41021
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License Number State | KY
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