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General NPI Number Information
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NPI Number | 1609195924
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Entity Type | Individual
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Provider Name | PHILIPPE LEVEILLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 11808 KINGSTON PIKE STE 130
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City | KNOXVILLE
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State | TN
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Zip | 37934-3831
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Country | US
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Telephone | 865-240-2559
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Fax | 865-240-0601
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Provider Business Mailing Address
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Address Line | 11808 KINGSTON PIKE STE 130
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City | KNOXVILLE
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State | TN
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Zip | 37934-3831
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Country | US
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Telephone | 865-240-2559
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Fax | 865-240-0601
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54305
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License Number State | TN
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