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General NPI Number Information
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NPI Number | 1194962795
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Entity Type | Individual
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Provider Name | JEANNINE COUVERTIERE
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Gender | Female
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 10710 MURDOCK DR STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37932-3257
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Country | US
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Telephone | 865-548-8053
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Fax | 865-200-4996
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Provider Business Mailing Address
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Address Line | 9620 STONE CANYON LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3552
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Country | US
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Telephone | 865-548-8053
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2280
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License Number State | TN
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