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General NPI Number Information
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NPI Number | 1154726586
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Entity Type | Organization
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Legal Business Name | KNOXVILLE HOPE CLINIC
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 900 W BAXTER AVE
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City | KNOXVILLE
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State | TN
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Zip | 37921-6851
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Country | US
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Telephone | 865-851-8508
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Fax | 865-851-8097
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Provider Business Mailing Address
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Address Line | 900 W BAXTER AVE
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City | KNOXVILLE
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State | TN
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Zip | 37921-6851
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Country | US
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Telephone | 865-851-8508
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Fax | 865-851-8097
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Authorized Official
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Title or Position | MANAGER
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Name | AMANDA BENNETT
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Credential |
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Telephone | 865-851-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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