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General NPI Number Information
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NPI Number | 1477574648
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE PLLC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 7070 HIGHWAY 64
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City | OAKLAND
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State | TN
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Zip | 38060-3208
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Country | US
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Telephone | 901-465-9902
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Fax | 901-465-2110
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Provider Business Mailing Address
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Address Line | 7070 HIGHWAY 64
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City | OAKLAND
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State | TN
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Zip | 38060-3208
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Country | US
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Telephone | 901-465-9902
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Fax | 901-465-2110
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALICE MCKEE
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Credential | M.D.
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Telephone | 901-465-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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