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General NPI Number Information
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NPI Number | 1346969383
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Entity Type | Organization
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Legal Business Name | SURGERY ON SUNDAY - EAST TENNESSEE
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 1928 ALCOA HWY BUILDING B SUITE 222
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City | KNOXVILLE
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State | TN
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Zip | 37920
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Country | US
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Telephone | 865-973-7374
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10782
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City | KNOXVILLE
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State | TN
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Zip | 37939-0782
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Country | US
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Telephone | 865-973-7374
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, BOARD OF DIRECTORS
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Name | DR. JOHN MARK LACY
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Credential | MD
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Telephone | 865-973-7374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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