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General NPI Number Information
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NPI Number | 1609338151
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Entity Type | Individual
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Provider Name | ANDREW BELDEN WILLS DO
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Gender | Male
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 2519 WILLOW POINT WAY
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City | KNOXVILLE
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State | TN
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Zip | 37931-3162
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Country | US
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Telephone | 865-694-9349
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Fax | 865-694-9883
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Provider Business Mailing Address
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Address Line | 2519 WILLOW POINT WAY
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City | KNOXVILLE
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State | TN
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Zip | 37931-3162
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Country | US
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Telephone | 865-216-4946
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4799
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License Number State | TN
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