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General NPI Number Information
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NPI Number | 1700858818
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Entity Type | Organization
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Legal Business Name | TRINITY MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 280 FORT SANDERS WEST BLVD SUITE 101
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City | KNOXVILLE
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State | TN
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Zip | 37922-3398
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Country | US
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Telephone | 865-539-0270
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Fax | 865-539-6998
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Provider Business Mailing Address
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Address Line | 280 FORT SANDERS WEST BLVD SUITE 101
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City | KNOXVILLE
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State | TN
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Zip | 37922-3398
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Country | US
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Telephone | 865-539-0270
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Fax | 865-539-6998
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LEAH B PARKER
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Credential |
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Telephone | 865-539-0270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20818
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License Number State | TN
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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 | 34640
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28506
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 28506
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License Number State | TN
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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 | 20447
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License Number State | TN
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