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General NPI Number Information
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NPI Number | 1629471131
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Entity Type | Organization
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Legal Business Name | VOLUNTEER URGENT AND PRIMARY CARE, P.C.
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 118 LEGACY VIEW WAY
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City | KNOXVILLE
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State | TN
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Zip | 37918-8230
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Country | US
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Telephone | 865-414-6654
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Fax |
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Provider Business Mailing Address
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Address Line | 8115 BEAVER RIDGE RD
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City | KNOXVILLE
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State | TN
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Zip | 37931-3314
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Country | US
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Telephone | 865-414-6654
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Fax | 865-693-6654
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. PHILLIP D KIRKLAND
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Credential | PHYSICIAN ASSISTANT
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Telephone | 865-414-6654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 1277
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 1277
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 1277
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1277
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1277
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 1277
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License Number State | TN
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