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General NPI Number Information
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NPI Number | 1538242680
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Entity Type | Organization
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Legal Business Name | MMS KNOXVILLE INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 1916 PATTERSON ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2120
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Country | US
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Telephone | 615-813-1211
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Fax | 615-813-1511
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Provider Business Mailing Address
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Address Line | 5210 S MIDDLEBROOK PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37921-5972
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Country | US
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Telephone | 865-584-5501
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Fax | 865-584-5560
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Authorized Official
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Title or Position | CIOMPLIANCE OFFICER
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Name | MS. SABRINA HAHN
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Credential |
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Telephone | 865-584-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0000001359
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License Number State | TN
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