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General NPI Number Information
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NPI Number | 1578680401
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Entity Type | Individual
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Provider Name | MELISSA JILL HASH
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 6800 BAUM DR BUILDING 3
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City | KNOXVILLE
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State | TN
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Zip | 37919-7315
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Country | US
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Telephone | 865-374-7100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1999
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City | LOUISVILLE
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State | TN
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Zip | 37777-1999
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Country | US
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Telephone | 865-970-1295
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Fax | 865-380-1461
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4846
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6464
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License Number State | TN
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