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General NPI Number Information
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NPI Number | 1629330923
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Entity Type | Organization
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Legal Business Name | SERVOLUTION HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 181 POWELL VALLEY SCHOOL LN
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City | SPEEDWELL
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State | TN
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Zip | 37870-7431
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Country | US
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Telephone | 423-419-5070
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Fax | 423-869-0081
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Provider Business Mailing Address
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Address Line | 181 POWELL VALLEY SCHOOL LN
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City | SPEEDWELL
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State | TN
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Zip | 37870-7431
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Country | US
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Telephone | 423-419-5070
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Fax | 423-869-0081
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Authorized Official
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Title or Position | CHAIRMAN OF BOARD
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Name | MRS. RHONDA ROARK
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Credential |
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Telephone | 423-489-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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