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General NPI Number Information
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NPI Number | 1679966162
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Entity Type | Organization
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Legal Business Name | MOUNTAIN HEALTH CLINIC, LLC
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 735 MCFARLAND ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3977
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Country | US
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Telephone | 423-585-5567
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Fax | 423-586-6863
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Provider Business Mailing Address
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Address Line | 851 KANDENNA DR
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City | MORRISTOWN
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State | TN
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Zip | 37814-2125
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Country | US
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Telephone | 423-231-3801
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Fax | 423-815-1250
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/OWNER
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Name | MS. KIMBERLY M SETSER
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Credential | APRN, FNP
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Telephone | 423-231-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7003
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License Number State | TN
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