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General NPI Number Information
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NPI Number | 1558783464
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Entity Type | Organization
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Legal Business Name | WEST KNOX HEALTH INC
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Dates
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Enumeration Date | 01/11/2014
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 431 PARK VILLAGE RD SUITE 103
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City | KNOXVILLE
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State | TN
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Zip | 37923-3849
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Country | US
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Telephone | 865-771-0205
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Fax |
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Provider Business Mailing Address
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Address Line | 10401 LAUREL POINTE LN
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City | KNOXVILLE
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State | TN
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Zip | 37931-3118
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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 | OWNER
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Name | JACQUELINE ZGIET
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Credential |
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Telephone | 865-771-0205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 16115
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 16115
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License Number State | TN
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