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General NPI Number Information
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NPI Number | 1265429203
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Entity Type | Individual
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Provider Name | DENNIS P DERUELLE MD, FHM
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 203
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City | KNOXVILLE
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State | TN
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Zip | 37919-4053
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Country | US
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Telephone | 800-342-2898
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Fax |
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Provider Business Mailing Address
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Address Line | 6616 ELLWOOD CT
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City | NASHVILLE
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State | TN
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Zip | 37205-3929
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Country | US
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Telephone | 813-966-1077
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0073520
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60938
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License Number State | TN
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