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NPI 1225079882

NPI 1225079882 : JAMES E. HENRY JR. M.D. : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1225079882
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES E. HENRY JR. M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    07/16/2007
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Provider Practice Location Address
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    Address Line         |    1431 CENTERPOINT BLVD STE 100
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37932-1984
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    Country              |    US
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    Telephone            |    865-693-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1431 CENTERPOINT BLVD STE 100
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37932-1984
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    Country              |    US
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    Telephone            |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    007638
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    License Number State |    TN
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