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General NPI Number Information
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NPI Number | 1740291855
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Entity Type | Individual
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Provider Name | NADINE M TRAINER MD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 1025 CHILDRENS WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922
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Country | US
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Telephone | 865-690-5006
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Fax | 865-690-2625
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Provider Business Mailing Address
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Address Line | PO BOX 15004
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City | KNOXVILLE
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State | TN
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Zip | 37901
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Country | US
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Telephone | 865-541-8895
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Fax | 865-633-4808
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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 | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 24709
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License Number State | TN
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