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General NPI Number Information
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NPI Number | 1366756082
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TENNESSEE
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 220 LANGLAND STREET
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City | KNOXVILLE
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State | TN
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Zip | 37915
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Country | US
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Telephone | 865-594-5078
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Fax | 865-594-3921
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Provider Business Mailing Address
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Address Line | 220 LANGLAND STREET
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City | KNOXVILLE
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State | TN
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Zip | 37915
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Country | US
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Telephone | 865-594-5078
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Fax | 865-594-3921
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Authorized Official
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Title or Position | DIRECTOR
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Name | NAN M GAYLORD
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Credential | PH.D, CPNP
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Telephone | 865-594-5078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0200X
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Taxonomy Name | Pediatric Clinical Nurse Specialist
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License Number |
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License Number State |
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