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General NPI Number Information
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NPI Number | 1811148273
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Entity Type | Organization
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Legal Business Name | JOHN C. HOUSE, PHD
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 135 FOX RD SUITE E
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City | KNOXVILLE
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State | TN
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Zip | 37922-3349
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Country | US
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Telephone | 865-567-5648
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Fax | 865-531-3948
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Provider Business Mailing Address
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Address Line | 135 FOX RD SUITE E
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City | KNOXVILLE
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State | TN
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Zip | 37922-3349
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Country | US
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Telephone | 865-567-5648
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Fax | 865-531-3948
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Authorized Official
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Title or Position | PERSIDENT
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Name | DR. JOHN C. HOUSE
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Credential | PHD
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Telephone | 865-567-5648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | P1522
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P1522
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License Number State | TN
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