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General NPI Number Information
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NPI Number | 1184765190
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH PARTNERS OF EAST TENNESSEE PC
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 200 NEW YORK AVE STE 150
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City | OAK RIDGE
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State | TN
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Zip | 37830-5227
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Country | US
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Telephone | 865-481-0200
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Fax | 865-481-3085
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Provider Business Mailing Address
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Address Line | 200 NEW YORK AVE STE 150
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City | OAK RIDGE
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State | TN
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Zip | 37830-5227
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Country | US
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Telephone | 865-481-0200
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Fax | 865-481-3085
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SANDRA COLLIER CRABTREE
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Credential |
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Telephone | 865-481-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 007939
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License Number State | TN
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