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General NPI Number Information
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NPI Number | 1235554007
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Entity Type | Organization
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Legal Business Name | ACCESS LIVING TENNESSEE, LLC
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 12828 BROKEN SADDLE RD
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City | KNOXVILLE
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State | TN
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Zip | 37934-1332
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Country | US
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Telephone | 865-438-8032
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Fax |
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Provider Business Mailing Address
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Address Line | 12828 BROKEN SADDLE RD
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City | KNOXVILLE
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State | TN
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Zip | 37934-1332
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Country | US
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Telephone | 865-438-8032
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID TAYLOR
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Credential |
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Telephone | 865-291-7352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | CS029015
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License Number State | MA
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