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General NPI Number Information
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NPI Number | 1629139167
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST MEDICAL CENTER, PLLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4313 BALL CAMP PIKE 1ST FLOOR STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37921-3334
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Country | US
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Telephone | 513-875-4172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 231
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City | FAYETTEVILLE
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State | OH
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Zip | 45118-0231
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Country | US
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Telephone | 513-875-4172
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A TERRY
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Credential | DC
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Telephone | 513-875-4172
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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 |
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License Number State |
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