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General NPI Number Information
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NPI Number | 1407010358
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Entity Type | Individual
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Provider Name | MACKENZIE DAVID HAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 900 E OAK HILL AVE
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City | KNOXVILLE
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State | TN
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Zip | 37917-4505
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Country | US
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Telephone | 865-545-7573
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Fax |
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Provider Business Mailing Address
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Address Line | 1604 LEGACY PARK RD
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City | KNOXVILLE
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State | TN
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Zip | 37922-6030
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Country | US
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Telephone | 815-262-2698
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 46388
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 46388
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License Number State | TN
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