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General NPI Number Information
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NPI Number | 1285660944
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Entity Type | Individual
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Provider Name | TERRY L FORREST M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2050 MEADOWVIEW PKWY
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City | KINGSPORT
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State | TN
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Zip | 37660-7475
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Country | US
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Telephone | 423-230-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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Fax | 423-282-1657
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD28939
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License Number State | TN
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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 | 0101055415
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28939
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101055415
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 28939
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101055415
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License Number State | VA
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