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NPI 1700245388

NPI 1700245388 : ALECIA N KNOX PA-C : MARYVILLE, TN

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General NPI Number Information
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    NPI Number           |    1700245388
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    Entity Type          |    Individual 
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    Provider Name        |    ALECIA N KNOX PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/11/2016
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    Last Update Date     |    10/28/2025
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Provider Practice Location Address
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    Address Line         |    250 BMH PHYSICIANS OFFICE BLDG 
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    City                 |    MARYVILLE
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    State                |    TN
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    Zip                  |    37804-5904
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    Country              |    US
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    Telephone            |    865-980-5244
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    300 E MCBEE AVE FL 4 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29601-2842
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    3943
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    3943
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    MED-PAC-LIC-44727
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    License Number State |    MT
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