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General NPI Number Information
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NPI Number | 1437806791
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Entity Type | Organization
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Legal Business Name | TPC MEDICAL, LLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 4320 BALL CAMP PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37921-3312
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Country | US
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Telephone | 865-357-4380
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Fax | 865-357-4385
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Provider Business Mailing Address
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Address Line | 3609 OUTDOOR SPORTSMAN PL STE 4
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City | KODAK
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State | TN
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Zip | 37764-1477
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Country | US
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Telephone | 561-537-0370
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Fax | 865-292-2327
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Authorized Official
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Title or Position | CEO
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Name | MR. IAN CLARKE
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Credential |
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Telephone | 561-537-0370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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