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General NPI Number Information
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NPI Number | 1134541477
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Entity Type | Organization
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Legal Business Name | TANEJA PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 6216 LONAS DR
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City | KNOXVILLE
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State | TN
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Zip | 37909-3235
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Country | US
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Telephone | 865-951-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 SHADY MEADOW LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-1055
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Country | US
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Telephone | 865-686-6916
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | NAVNEET TANEJA
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Credential | MD
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Telephone | 914-582-0392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | TN45759
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License Number State | TN
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