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General NPI Number Information
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NPI Number | 1477649226
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 9625 KROGER PARK DR STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37922-5880
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Country | US
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Telephone | 865-539-2411
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Fax | 865-539-2412
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Provider Business Mailing Address
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Address Line | PO BOX 440525
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City | NASHVILLE
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State | TN
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Zip | 37244-0525
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6158
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CYNTHIA B. MARQUART
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Credential |
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Telephone | 865-305-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TN
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