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General NPI Number Information
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NPI Number | 1629066378
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Entity Type | Organization
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Legal Business Name | FORT SANDERS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1901 W CLINCH AVE
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City | KNOXVILLE
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State | TN
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Zip | 37916-2307
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Country | US
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Telephone | 865-331-1860
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Fax | 865-331-1861
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Provider Business Mailing Address
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Address Line | 1420 CENTERPOINT BLVD BUILDING C
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City | KNOXVILLE
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State | TN
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Zip | 37932-1960
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Country | US
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Telephone | 865-374-5354
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Fax |
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Authorized Official
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Title or Position | VP, REVENUE CYCLE
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Name | RICK CARRINGER
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Credential | CPA
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Telephone | 865-374-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 570
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License Number State | TN
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