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General NPI Number Information
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NPI Number | 1588719744
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Entity Type | Organization
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Legal Business Name | TENNESSEE ORTHOPAEDIC CLINICS PC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 576 FORT LOUDOUN MEDICAL CENTER DR SUITE 100
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City | LENOIR CITY
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State | TN
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Zip | 37772-5676
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Country | US
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Telephone | 865-988-8667
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Fax | 865-988-8837
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Provider Business Mailing Address
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Address Line | PO BOX 32569
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City | KNOXVILLE
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State | TN
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Zip | 37930-2569
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Country | US
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Telephone | 865-694-0062
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Fax | 865-694-7907
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Authorized Official
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Title or Position | CREDENTIALING
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Name | ZENA ANN MCCONNELL
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Credential | CPC, CPCO
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Telephone | 865-694-0062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20611
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License Number State | TN
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