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General NPI Number Information
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NPI Number | 1740876283
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Entity Type | Organization
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Legal Business Name | TENNESSEE ORTHOPAEDIC ALLIANCE PA
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 1819 CLINCH AVE STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37916-2435
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Country | US
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Telephone | 865-690-4861
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Fax | 865-483-4194
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Provider Business Mailing Address
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Address Line | PO BOX 306556
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City | NASHVILLE
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State | TN
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Zip | 37230-6556
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Country | US
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Telephone | 865-243-8153
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Fax | 865-694-7907
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY MCSWAIN
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Credential |
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Telephone | 865-243-8183
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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 |
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