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General NPI Number Information
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NPI Number | 1285832964
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Entity Type | Individual
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Provider Name | JOHN GREGORY KUPFNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 3889 WONDERLAND LN
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City | SEVIERVILLE
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State | TN
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Zip | 37862-8288
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Country | US
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Telephone | 865-366-7812
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Fax |
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Provider Business Mailing Address
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Address Line | 9709 STONE HENGE LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3447
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Country | US
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Telephone | 865-258-6134
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Fax | 865-258-6134
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301512391
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101241464
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 46026
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License Number State | TN
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