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General NPI Number Information
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NPI Number | 1659716934
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Entity Type | Organization
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Legal Business Name | METRO FAMILY CARE, LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 152 MARKET PLACE BLVD BLDG F
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City | KNOXVILLE
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State | TN
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Zip | 37922-2337
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Country | US
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Telephone | 865-212-2211
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Fax | 833-314-0589
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Provider Business Mailing Address
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Address Line | 140 MARKET PLACE BLVD STE E
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City | KNOXVILLE
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State | TN
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Zip | 37922-2337
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Country | US
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Telephone | 865-212-2211
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Fax | 833-314-0589
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | MRS. SUSAN T HICKS
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Credential | FNP-C
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Telephone | 865-212-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40307
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 40307
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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