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General NPI Number Information
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NPI Number | 1790865335
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Entity Type | Individual
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Provider Name | MICHAEL L EISENSTADT MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 1928 ALCOA HWY. BLDG. B STE. 119
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City | KNOXVILLE
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State | TN
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Zip | 37920
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Country | US
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Telephone | 865-305-8761
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Fax | 865-305-9869
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Provider Business Mailing Address
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Address Line | 1928 ALCOA HWY MEDICAL BUILDING B SUITE 119
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City | KNOXVILLE
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State | TN
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Zip | 37920-1502
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Country | US
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Telephone | 865-305-8761
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Fax | 865-305-9869
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | MD013036
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 13036
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License Number State | TN
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