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General NPI Number Information
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NPI Number | 1427775238
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Entity Type | Organization
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Legal Business Name | VETCOMPUSA LLC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 9051 EXECUTIVE PARK DR
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City | KNOXVILLE
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State | TN
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Zip | 37923-4606
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Country | US
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Telephone | 865-219-1144
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Fax | 865-392-1491
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Provider Business Mailing Address
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Address Line | 704 LADERA CIR
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City | KNOXVILLE
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State | TN
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Zip | 37922-4112
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Country | US
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Telephone | 865-387-8702
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER (FNP-BC)
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Name | MRS. TAMI YAGER
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Credential | FNP-BC
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Telephone | 865-387-8702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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