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General NPI Number Information
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NPI Number | 1164310520
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Entity Type | Organization
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Legal Business Name | CHUC, LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1915 CUMBERLAND AVE SUITE 121
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City | KNOXVILLE
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State | TN
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Zip | 37916
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Country | US
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Telephone | 865-686-9544
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Fax | 865-686-9545
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Provider Business Mailing Address
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Address Line | 216 CENTERVIEW DR STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-3226
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Country | US
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Telephone | 615-656-2750
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Fax |
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Authorized Official
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Title or Position | SENIOR CREDENTIALING SPECIALIST
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Name | TYLER TERWILLIGER
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Credential |
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Telephone | 615-656-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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