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General NPI Number Information
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NPI Number | 1447723515
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL SOLUTIONS OF KNOXVILLE
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 6725 PAPERMILL DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-4837
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Country | US
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Telephone | 865-584-7246
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Fax | 865-584-7375
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Provider Business Mailing Address
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Address Line | 6725 PAPERMILL DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-4837
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Country | US
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Telephone | 865-584-7246
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Fax | 865-584-7375
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | TRACEY SHREVE
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Credential |
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Telephone | 865-584-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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