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General NPI Number Information
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NPI Number | 1790109981
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Entity Type | Individual
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Provider Name | RACHEL E. ENIGK P.A.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 5247 SALEM CHURCH RD
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City | KNOXVILLE
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State | TN
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Zip | 37938-2144
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Country | US
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Telephone | 865-719-6723
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Fax |
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Provider Business Mailing Address
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Address Line | 5247 SALEM CHURCH RD
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City | KNOXVILLE
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State | TN
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Zip | 37938-2144
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Country | US
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Telephone | 865-719-6723
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2465
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2465
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License Number State | TN
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