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General NPI Number Information
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NPI Number | 1487640892
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Entity Type | Individual
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Provider Name | HESAMM ELMI GHARAVI MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 9957 SHERRILL BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37932-3366
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Country | US
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Telephone | 656-932-2558
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Fax | 865-691-7888
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Provider Business Mailing Address
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Address Line | 6016 BROOKVALE LN STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37919-4092
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Country | US
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Telephone | 865-862-0998
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Fax | 865-544-1861
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD0000038878
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License Number State | TN
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