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General NPI Number Information
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NPI Number | 1780777334
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Entity Type | Organization
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Legal Business Name | TRANSMEDICUS SERVICE CORPORATION
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 1240 FOX MEADOWS BOULEVARD SUITE 6
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City | SEVIERVILLE
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State | TN
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Zip | 37862-6928
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Country | US
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Telephone | 865-428-4042
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Fax | 865-428-8191
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Provider Business Mailing Address
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Address Line | 1240 FOX MEADOWS BOULEVARD SUITE 6
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City | SEVIERVILLE
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State | TN
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Zip | 37862-6928
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Country | US
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Telephone | 865-428-4042
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Fax | 865-428-8191
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Authorized Official
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Title or Position | PHYSICIAN/CEO
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Name | NORMAN EUGENE LIDDELL
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Credential | MD
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Telephone | 865-428-4042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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