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General NPI Number Information
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NPI Number | 1295702991
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Entity Type | Individual
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Provider Name | MARY CHRIS TESTERMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 9184 HEMINGWAY GROVE CIR
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City | KNOXVILLE
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State | TN
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Zip | 37922-8090
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Country | US
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Telephone | 865-661-9384
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Fax |
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Provider Business Mailing Address
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Address Line | 9184 HEMINGWAY GROVE CIR
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City | KNOXVILLE
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State | TN
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Zip | 37922-8090
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Country | US
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Telephone | 865-661-9384
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 29290
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD29290
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License Number State | TN
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