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General NPI Number Information
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NPI Number | 1801941687
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Entity Type | Organization
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Legal Business Name | STATE OF TENNESSEE
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 403 EAST G STREET
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City | ELIZABETHTON
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State | TN
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Zip | 37643-3223
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Country | US
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Telephone | 423-543-2521
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Fax | 421-354-3734
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Provider Business Mailing Address
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Address Line | 403 EAST G STREET
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City | ELIZABETHTON
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State | TN
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Zip | 37643-3223
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Country | US
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Telephone | 423-543-2521
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Fax | 421-354-3734
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Authorized Official
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Title or Position | COUNTY DIRECTOR
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Name | MS. CAROLINE HURT
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Credential |
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Telephone | 423-543-2521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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