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General NPI Number Information
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NPI Number | 1306247515
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Entity Type | Organization
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Legal Business Name | FORT SANDERS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 09/07/2014
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Last Update Date | 09/07/2014
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Provider Practice Location Address
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Address Line | 614 EMORY OAK CT
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City | KNOXVILLE
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State | TN
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Zip | 37909-3439
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Country | US
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Telephone | 304-634-6510
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Fax |
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Provider Business Mailing Address
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Address Line | 614 EMORY OAK CT
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City | KNOXVILLE
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State | TN
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Zip | 37909-3439
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Country | US
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Telephone | 304-634-6510
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | BLISS MASIARCZYK
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Credential | PHARM.D.
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Telephone | 865-541-3695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 38580
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License Number State | TN
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