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General NPI Number Information
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NPI Number | 1609683804
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Entity Type | Organization
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Legal Business Name | TENNESSEE ORTHOPAEDIC ALLIANCE, PA
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4882 HARVEST MILL WAY
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City | KNOXVILLE
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State | TN
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Zip | 37918-1993
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Country | US
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Telephone | 865-560-8550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 306556
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City | NASHVILLE
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State | TN
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Zip | 37230-6556
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Country | US
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Telephone | 865-243-8183
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY MCSWAIN
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Credential |
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Telephone | 865-243-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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