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General NPI Number Information
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NPI Number | 1730017351
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Entity Type | Organization
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Legal Business Name | BLOUNT DERMATOLOGY SPECIALISTS PLLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 255 E WATT ST STE 247
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City | ALCOA
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State | TN
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Zip | 37701-2236
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Country | US
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Telephone | 630-918-6947
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Fax |
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Provider Business Mailing Address
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Address Line | 257 N CALDERWOOD ST PMB 394
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City | ALCOA
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State | TN
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Zip | 37701
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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 | PHYSICIAN OWNER
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Name | KEVIN VEVERKA
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Credential | MD
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Telephone | 865-351-0433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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