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General NPI Number Information
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NPI Number | 1639469919
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Entity Type | Organization
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Legal Business Name | FEET FIRST, PLLC
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 9330 PARK WEST BLVD SUITE #508
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City | KNOXVILLE
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State | TN
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Zip | 37923-4308
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Country | US
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Telephone | 865-691-1115
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Fax | 865-691-8055
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Provider Business Mailing Address
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Address Line | 9330 PARK WEST BLVD SUITE #508
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City | KNOXVILLE
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State | TN
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Zip | 37923-4308
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Country | US
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Telephone | 865-691-1115
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Fax | 865-691-8055
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CINDY B CAPLAN
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Credential | D/P.M.
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Telephone | 865-691-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | TN000300
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License Number State | TN
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