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General NPI Number Information
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NPI Number | 1386625846
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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 | 11/10/2005
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 600 HENLEY ST STE 213
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City | KNOXVILLE
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State | TN
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Zip | 37996-0001
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Country | US
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Telephone | 865-974-5453
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Fax | 865-974-1792
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Provider Business Mailing Address
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Address Line | 600 HENLEY ST STE 213
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City | KNOXVILLE
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State | TN
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Zip | 37996-4502
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Country | US
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Telephone | 865-974-5453
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Fax | 865-974-1792
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Authorized Official
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Title or Position | EXECUTIVE VICE CHANCELLOR, COO
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Name | RAAJ KURAPATI
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Credential |
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Telephone | 901-448-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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