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General NPI Number Information
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NPI Number | 1639160682
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Entity Type | Individual
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Provider Name | MARY CATHERINE ELLIOTTE NP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1431 CENTERPOINT BLVD # 1
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City | KNOXVILLE
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State | TN
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Zip | 37932-1984
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Country | US
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Telephone | 800-794-2247
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Fax | 865-670-2806
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Provider Business Mailing Address
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Address Line | 1431 CENTERPOINT BLVD # 1
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City | KNOXVILLE
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State | TN
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Zip | 37932-1984
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Country | US
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Telephone | 800-794-2247
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Fax | 865-670-2806
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11036787
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11698
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R863588
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License Number State | MS
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