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General NPI Number Information
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NPI Number | 1508969528
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Entity Type | Organization
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Legal Business Name | HEALTHCARE CENTER, PC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 2908 TAZEWELL PIKE SUITE A
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City | KNOXVILLE
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State | TN
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Zip | 37918-1878
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Country | US
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Telephone | 865-219-6055
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Fax | 865-982-5185
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Provider Business Mailing Address
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Address Line | PO BOX 5870
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City | MARYVILLE
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State | TN
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Zip | 37802-5870
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Country | US
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Telephone | 865-219-6055
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Fax | 865-982-5185
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/PHYSICIAN
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Name | DR. FREDDIE JAMES BENNETT
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Credential | M.D
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Telephone | 865-219-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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