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General NPI Number Information
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NPI Number | 1245727874
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Entity Type | Organization
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Legal Business Name | FARRAGUT INPATIENT SERVICES PLLC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 08/25/2019
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Provider Practice Location Address
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Address Line | 10820 PARKSIDE DR
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City | KNOXVILLE
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State | TN
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Zip | 37934-1956
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Country | US
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Telephone | 469-401-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1374
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Country | US
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Telephone | 954-838-2371
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Fax |
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Authorized Official
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Title or Position | AO
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Name | GREGORY J BYRNE
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Credential |
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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