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General NPI Number Information
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NPI Number | 1447769807
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Entity Type | Organization
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Legal Business Name | C A H MANAGMENT COMPANY, LLC
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1025 CHILDRENS WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-7713
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Country | US
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Telephone | 865-293-5676
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Fax | 865-291-3239
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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Country | US
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Telephone | 865-693-1000
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Fax |
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Authorized Official
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Title or Position | VP OF OPERSATIONS
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Name | STEVEN GODBOLD
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Credential |
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Telephone | 865-293-5676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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