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General NPI Number Information
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NPI Number | 1245772391
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SYSTEM DBA UNIVERSITY SURGICAL ONCOLOGY
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 1926 ALCOA HWY SUITE 330
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City | KNOXVILLE
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State | TN
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Zip | 37920-1545
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Country | US
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Telephone | 865-305-9218
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 ALCOA HWY SUITE 330
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City | KNOXVILLE
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State | TN
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Zip | 37920-1545
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Country | US
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Telephone | 865-305-9218
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Fax |
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Authorized Official
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Title or Position | PRACTICE SUPERVISOR
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Name | DAVID A HUTCHINS
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Credential |
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Telephone | 865-305-9218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3137
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License Number State | TN
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