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General NPI Number Information
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NPI Number | 1639826324
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Entity Type | Organization
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Legal Business Name | A&W EMG MUSCLE & NERVE PLLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 9314 PARK WEST BLVD STE 404
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City | KNOXVILLE
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State | TN
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Zip | 37923-4329
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Country | US
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Telephone | 301-356-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 9314 PARK WEST BLVD STE 404
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City | KNOXVILLE
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State | TN
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Zip | 37923-4329
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Country | US
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Telephone | 301-356-0970
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM THOMAS ALLRED
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Credential | MD
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Telephone | 888-211-1054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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