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General NPI Number Information
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NPI Number | 1700970605
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY OF KNOXVILLE
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1114 E WEISGARBER RD STE A
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City | KNOXVILLE
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State | TN
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Zip | 37909
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Country | US
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Telephone | 865-558-8839
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Fax | 865-588-3781
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Provider Business Mailing Address
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Address Line | 1114 E WEISGARBER RD STE A
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City | KNOXVILLE
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State | TN
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Zip | 37909
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Country | US
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Telephone | 865-558-8839
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Fax | 865-588-3781
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. ALDRIDGE TROUTMAN
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Credential |
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Telephone | 865-558-5898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD4561
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License Number State | TN
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