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General NPI Number Information
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NPI Number | 1396420139
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Entity Type | Organization
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Legal Business Name | PRIORITY TELEMEDICINE GROUP, P.A.
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 9721 COGDILL RD STE 302
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City | KNOXVILLE
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State | TN
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Zip | 37932-3425
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Country | US
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Telephone | 865-888-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 9721 COGDILL RD STE 302
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City | KNOXVILLE
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State | TN
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Zip | 37932-3425
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Country | US
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Telephone | 865-888-5131
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Fax |
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Authorized Official
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Title or Position | CHIEF REVENUE INTEGRATION OFFICER
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Name | ROBERT JEWELL
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Credential |
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Telephone | 844-597-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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