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General NPI Number Information
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NPI Number | 1568402865
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Entity Type | Individual
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Provider Name | HAROLD LYNN MASSINGALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 9352 PARK WEST BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37923-4325
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Country | US
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Telephone | 865-373-1000
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 634706
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City | CINCINNATI
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State | OH
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Zip | 45263-4706
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Country | US
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Telephone | 865-292-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 010735
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License Number State | TN
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