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General NPI Number Information
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NPI Number | 1366302663
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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 | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 334 HIGHWAY 92 S STE 6
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City | DANDRIDGE
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State | TN
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Zip | 37725-4578
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Country | US
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Telephone | 865-344-8200
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Fax | 865-940-1104
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Provider Business Mailing Address
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Address Line | 334 HIGHWAY 92 S STE 6
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City | DANDRIDGE
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State | TN
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Zip | 37725-4578
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Country | US
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Telephone | 865-344-8200
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Fax | 865-940-1104
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/CEO
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Name | ODESSA BRABSON
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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