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General NPI Number Information
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NPI Number | 1326083221
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Entity Type | Organization
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Legal Business Name | WOMEN'S PHYSICIANS OF KNOXVILLE, PC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 939 EMERALD AVE SUITE 901
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City | KNOXVILLE
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State | TN
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Zip | 37917-4502
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Country | US
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Telephone | 865-521-4900
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Fax | 865-521-4999
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Provider Business Mailing Address
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Address Line | 7420 BELLINGHAM DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-8183
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Country | US
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Telephone | 865-769-8126
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEATHER K MOSS
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Credential | MD
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Telephone | 865-521-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD39160
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License Number State | TN
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