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General NPI Number Information
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NPI Number | 1487437117
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Entity Type | Individual
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Provider Name | PHILLIP BARTLEY KNIGHT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 8110 HIGHWAY 100
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City | BELLEVUE
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State | TN
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Zip | 37221-4214
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Country | US
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Telephone | 615-673-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 CHURCH ST APT 308
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City | NASHVILLE
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State | TN
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Zip | 37203-2599
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Country | US
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Telephone | 865-964-7810
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000047223
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License Number State | TN
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