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General NPI Number Information
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NPI Number | 1467267575
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Entity Type | Organization
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Legal Business Name | FORT SANDERS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1901 CLINCH AVE
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City | KNOXVILLE
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State | TN
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Zip | 37916-2307
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Country | US
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Telephone | 865-331-1835
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 CENTERPOINT BLVD BLDG C
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City | KNOXVILLE
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State | TN
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Zip | 37932-1960
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Country | US
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Telephone | 865-374-6869
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | TABITHA M CULBERTSON
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Credential |
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Telephone | 865-331-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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