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General NPI Number Information
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NPI Number | 1396416921
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SYSTEM INC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 1932 ALCOA HWY STE C450
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City | KNOXVILLE
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State | TN
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Zip | 37920-1527
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Country | US
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Telephone | 865-670-6754
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Fax | 865-305-6744
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Provider Business Mailing Address
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Address Line | PO BOX 415000-MSC8326
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City | NASHVILLE
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State | TN
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Zip | 37241-8346
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Country | US
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Telephone | 865-670-6754
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Fax | 865-670-6198
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT COORDINATOR
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Name | CAROL BURGESS
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Credential |
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Telephone | 865-670-6754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number |
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License Number State |
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