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General NPI Number Information
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NPI Number | 1679758312
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Entity Type | Organization
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Legal Business Name | CENTER FOR FAMILY PSYCHIATRY PC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 10241 KINGSTON PIKE SUITE 1 AND 2
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City | KNOXVILLE
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State | TN
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Zip | 37922-3240
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Country | US
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Telephone | 865-691-1165
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Fax | 865-690-6042
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Provider Business Mailing Address
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Address Line | 10241 KINGSTON PIKE SUITE 1 AND 2
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City | KNOXVILLE
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State | TN
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Zip | 37922-3240
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Country | US
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Telephone | 865-691-1165
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Fax | 865-690-6042
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | DR. JOHN B ROBERTSON JR.
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Credential | MD
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Telephone | 865-691-1165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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