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General NPI Number Information
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NPI Number | 1447599659
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Entity Type | Organization
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Legal Business Name | SOUTHEAST EYE SURGERY CENTER, LLC
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1400 DOWELL SPRINGS BLVD STE 300
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City | KNOXVILLE
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State | TN
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Zip | 37909-2456
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Country | US
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Telephone | 865-602-7978
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Fax | 865-602-7979
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Provider Business Mailing Address
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Address Line | 1400 DOWELL SPRINGS BLVD STE 300
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City | KNOXVILLE
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State | TN
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Zip | 37909-2456
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Country | US
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Telephone | 865-966-7337
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Fax | 865-966-7339
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DARYL LEE MCDANIEL
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Credential | M.D.
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Telephone | 865-966-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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