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General NPI Number Information
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NPI Number | 1619942059
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Entity Type | Individual
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Provider Name | REBECCA FEESE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 10215 KINGSTON PIKE SUITE 100
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City | KNOXVILLE
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State | TN
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Zip | 37922-4609
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Country | US
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Telephone | 865-691-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 10215 KINGSTON PIKE SUITE 100
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City | KNOXVILLE
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State | TN
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Zip | 37922-4609
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Country | US
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Telephone | 865-691-0733
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10000756A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0000002180
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License Number State | TN
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