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General NPI Number Information
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NPI Number | 1528726148
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Entity Type | Organization
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Legal Business Name | TELEMEDICINE SERVICES OF TX PA
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 4246 LAREN LN
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City | DALLAS
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State | TX
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Zip | 75244-6707
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Country | US
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Telephone | 865-693-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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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 | OWNERS/PRESIDENT
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Name | LANCE WILLIAMS
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Credential | MD
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Telephone | 865-693-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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