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General NPI Number Information
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NPI Number | 1659538171
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Entity Type | Organization
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Legal Business Name | MICHAEL B. ALLEE OD PC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 4722 WESTERN AVE
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City | KNOXVILLE
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State | TN
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Zip | 37921-3303
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Country | US
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Telephone | 865-588-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 4722 WESTERN AVE
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City | KNOXVILLE
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State | TN
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Zip | 37921-3303
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Country | US
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Telephone | 865-588-1886
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL B ALLEE
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Credential |
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Telephone | 865-588-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 0896
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODT-896
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License Number State | TN
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