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General NPI Number Information
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NPI Number | 1467045971
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL INTEGRATED HEALTHCARE (PIHC), PLLC
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 9221 MIDDLEBROOK PIKE STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37931-4764
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Country | US
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Telephone | 865-219-1989
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Fax | 865-409-5974
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Provider Business Mailing Address
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Address Line | 9221 MIDDLEBROOK PIKE STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37931-4764
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Country | US
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Telephone | 865-219-1989
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Fax | 865-409-5974
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DANA WEBBER
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Credential | NP-C
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Telephone | 865-219-1989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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