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General NPI Number Information
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NPI Number | 1336536226
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Entity Type | Organization
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Legal Business Name | KNOX WELLNESS PLLC
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Dates
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Enumeration Date | 04/19/2015
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 9320 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-2319
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Country | US
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Telephone | 865-357-6069
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Fax | 877-212-0388
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Provider Business Mailing Address
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Address Line | 9320 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-2319
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Country | US
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Telephone | 865-444-5329
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Fax | 877-212-0388
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | ELIZABETH HOWARD
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Credential |
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Telephone | 865-444-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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