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General NPI Number Information
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NPI Number | 1770767790
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Entity Type | Organization
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Legal Business Name | FRANCISCO G. MORENO, M.D., P.C.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 501 20TH ST STE 201
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City | KNOXVILLE
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State | TN
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Zip | 37916-1850
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Country | US
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Telephone | 865-546-2888
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Fax | 865-546-5606
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Provider Business Mailing Address
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Address Line | 501 20TH ST STE 201
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City | KNOXVILLE
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State | TN
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Zip | 37916-1850
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Country | US
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Telephone | 865-546-2888
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Fax | 865-546-5606
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Authorized Official
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Title or Position | INSURANCE, CREDENTIALING
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Name | MRS. SANDRA J. HOUSE
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Credential |
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Telephone | 865-546-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD0000010436
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License Number State | TN
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