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General NPI Number Information
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NPI Number | 1740563220
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Entity Type | Organization
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Legal Business Name | APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1600 JOHNSTON MEMORIAL DRIVE STE. 100
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City | ABINGDON
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State | VA
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Zip | 24211
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Country | US
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Telephone | 276-477-1443
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Fax | 276-477-1441
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Provider Business Mailing Address
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Address Line | 4105 FORT HENRY DR STE 300
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City | KINGSPORT
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State | TN
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Zip | 37663-2256
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Country | US
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Telephone | 423-239-1550
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Fax | 423-239-1544
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Authorized Official
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Title or Position | COO
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Name | DARYN KEENEY
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Credential | CMPE
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Telephone | 423-239-1538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | VA
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