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General NPI Number Information
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NPI Number | 1497350623
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Entity Type | Organization
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Legal Business Name | CLAIBORNE HEALTH & WELLNESS INC.
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 1579 TAZEWELL RD
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City | TAZEWELL
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State | TN
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Zip | 37879-3607
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Country | US
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Telephone | 423-869-3700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 720
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City | HARROGATE
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State | TN
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Zip | 37752-0720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, OWNER
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Name | PAMELA BAYS
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Credential | RN
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Telephone | 423-869-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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