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General NPI Number Information
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NPI Number | 1144764937
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Entity Type | Organization
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Legal Business Name | ANYTIME PEDIATRICS
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 2517 WRIGHTS FERRY RD
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City | KNOXVILLE
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State | TN
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Zip | 37919-9141
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Country | US
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Telephone | 865-368-8549
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 WRIGHTS FERRY RD
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City | KNOXVILLE
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State | TN
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Zip | 37919-9141
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Country | US
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Telephone | 865-368-8549
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ANGIE CONNORS
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Credential |
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Telephone | 865-368-8549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD0000030370
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License Number State | TN
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