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General NPI Number Information
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NPI Number | 1235010828
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Entity Type | Organization
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Legal Business Name | CEREBRUM TN PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 11124 KINGSTON PIKE STE 119-319
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City | KNOXVILLE
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State | TN
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Zip | 37934-2863
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Country | US
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Telephone | 309-397-3080
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Fax |
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Provider Business Mailing Address
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Address Line | 11124 KINGSTON PIKE STE 119-319
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City | KNOXVILLE
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State | TN
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Zip | 37934-2863
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Country | US
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Telephone | 309-327-1625
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEEPAK N REDDY
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Credential | MD
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Telephone | 309-327-1625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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