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General NPI Number Information
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NPI Number | 1639362353
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Entity Type | Organization
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Legal Business Name | PERSONAL CHOICE HEALTH CARE SERVICE PC
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 7210 OAK RIDGE HWY
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City | KNOXVILLE
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State | TN
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Zip | 37931-2613
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Country | US
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Telephone | 865-692-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 7210 OAK RIDGE HWY
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City | KNOXVILLE
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State | TN
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Zip | 37931-2613
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Country | US
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Telephone | 865-692-1400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGG MARTIN RADER SR.
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Credential | MD
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Telephone | 865-692-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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