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General NPI Number Information
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NPI Number | 1457669996
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Entity Type | Organization
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Legal Business Name | NHC FARRAGUT
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 120 CAVETTE HILL LN
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City | KNOXVILLE
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State | TN
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Zip | 37934-6673
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Country | US
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Telephone | 865-777-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CAVETTE HILL LN
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City | KNOXVILLE
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State | TN
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Zip | 37934-6673
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | RASHIDA UENICE SALLIE
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Credential |
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Telephone | 865-300-2667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 4668
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License Number State | TN
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