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General NPI Number Information
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NPI Number | 1235598558
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Entity Type | Organization
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Legal Business Name | EAST TENNESSEE CANCER & BLOOD CENTER,PC
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 1406 TUSCULUM BLVD SUITE 2000
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City | GREENEVILLE
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State | TN
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Zip | 37745-4332
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Country | US
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Telephone | 423-787-7080
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Fax | 423-787-7087
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Provider Business Mailing Address
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Address Line | 110 CORPORATE DR SUITE 120
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2008
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Country | US
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Telephone | 423-282-0534
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Fax | 423-282-2064
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATRICIA POSEY
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Credential |
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Telephone | 423-787-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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