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NPI 1154116093

NPI 1154116093 : OAK RIDGE ENERGY HEALTH AND WELLNESS LLC : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1154116093
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    Entity Type          |    Organization 
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    Legal Business Name  |    OAK RIDGE ENERGY HEALTH AND WELLNESS LLC 
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Dates
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    Enumeration Date     |    04/11/2025
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    Last Update Date     |    04/11/2025
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Provider Practice Location Address
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    Address Line         |    800 S GAY ST STE 700 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37929-9703
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    Country              |    US
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    Telephone            |    865-216-1300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 S GAY ST STE 700 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37929-9703
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ROBIN  HUBBERT 
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    Credential           |    
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    Telephone            |    727-688-0809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    
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    License Number State |    
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