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General NPI Number Information
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NPI Number | 1265589964
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Entity Type | Organization
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Legal Business Name | KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2247 WESTERN AVE
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City | KNOXVILLE
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State | TN
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Zip | 37921-5756
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Country | US
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Telephone | 865-524-0319
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Fax | 865-546-9013
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Provider Business Mailing Address
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Address Line | PO BOX 51650
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City | KNOXVILLE
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State | TN
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Zip | 37950-1650
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Country | US
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Telephone | 865-524-0319
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Fax | 865-546-9013
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BARBARA KELLY
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Credential |
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Telephone | 865-546-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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