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General NPI Number Information
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NPI Number | 1154209583
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Entity Type | Organization
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Legal Business Name | SUNSPHERE PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 4706 PAPERMILL DRIVE STE 103
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City | KNOXVILLE
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State | TN
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Zip | 37909-1972
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Country | US
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Telephone | 865-226-9076
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50942
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City | KNOXVILLE
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State | TN
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Zip | 37950-0942
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Country | US
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Telephone | 865-226-9076
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAMPBELL O'NEAL REYNOLDS
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Credential | MD
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Telephone | 865-226-9076
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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