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General NPI Number Information
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NPI Number | 1184951626
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Entity Type | Organization
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Legal Business Name | AKBK INC.
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 314 HOME AVE
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City | MARYVILLE
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State | TN
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Zip | 37801-3971
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Country | US
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Telephone | 865-984-2580
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Fax | 865-984-2582
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Provider Business Mailing Address
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Address Line | 4503 WALKER BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37917-1526
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Country | US
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Telephone | 865-688-2626
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Fax | 865-688-3647
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Authorized Official
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Title or Position | OWNER
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Name | MR. PETER PAUL KOSLOSKI
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Credential | CPO
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Telephone | 865-675-2873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ORT0000000031
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | PRO0000000027
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License Number State | TN
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