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General NPI Number Information
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NPI Number | 1528052578
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Entity Type | Organization
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Legal Business Name | LECONTE MEDICAL CENTER
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 742 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5019
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Country | US
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Telephone | 865-429-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 888542
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City | KNOXVILLE
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State | TN
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Zip | 37995-0001
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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 | VP REVENUE CYCLE
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Name | RICK CARRINGER
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Credential | CPA
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Telephone | 865-374-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000103
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License Number State | TN
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