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General NPI Number Information
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NPI Number | 1417182080
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Entity Type | Organization
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Legal Business Name | NEW DAY CLINIC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 882 HWY 92 SOUTH
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City | DANDRIDGE
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State | TN
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Zip | 37725-4621
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Country | US
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Telephone | 423-608-9148
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 SIERRA ROAD
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City | NEWPORT
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State | TN
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Zip | 37821-6007
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Country | US
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Telephone | 423-608-9148
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | KENNETH LEE HILL
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Credential | M.D.
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Telephone | 423-608-9148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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