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General NPI Number Information
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NPI Number | 1346605607
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Entity Type | Organization
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Legal Business Name | HEALTHSTAR PHYSICIANS, PC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1400 DOWELL SPRINGS BLVD BUILDING 1400, SUITE 340
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City | KNOXVILLE
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State | TN
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Zip | 37909-2456
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Country | US
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Telephone | 865-588-1605
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Fax | 865-588-1608
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Provider Business Mailing Address
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Address Line | 1400 DOWELL SPRINGS BLVD BUILDING 1400, SUITE 340
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City | KNOXVILLE
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State | TN
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Zip | 37909-2456
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Country | US
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Telephone | 865-588-1605
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Fax | 865-588-1608
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Authorized Official
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Title or Position | CEO
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Name | DONALD L LEE
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Credential |
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Telephone | 423-581-5925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD49026
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License Number State | TN
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