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General NPI Number Information
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NPI Number | 1629498662
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 1924 ALCOA HWY SUITE NP 100
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City | KNOXVILLE
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State | TN
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Zip | 37920-1511
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Country | US
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Telephone | 865-305-7420
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Fax | 865-305-7417
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Provider Business Mailing Address
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Address Line | 1924 ALCOA HWY SUITE NP 100
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City | KNOXVILLE
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State | TN
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Zip | 37920-1511
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Country | US
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Telephone | 865-305-7420
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Fax | 865-305-7417
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | TROY REBERT
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Credential |
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Telephone | 865-305-7420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 5138
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License Number State | TN
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