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General NPI Number Information
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NPI Number | 1811971997
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Entity Type | Individual
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Provider Name | JAMES RICHARD KERRIGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 2018 CLINCH AVE, SOUTH TOWER 2ND FLOOR
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City | KNOXVILLE
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State | TN
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Zip | 37916
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Country | US
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Telephone | 865-971-7400
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Fax | 865-541-8611
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Provider Business Mailing Address
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Address Line | PO BOX 15004
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City | KNOXVILLE
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State | TN
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Zip | 37901
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Country | US
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Telephone | 865-522-9730
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Fax | 865-637-2520
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 200401240
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 0000024835
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License Number State | TN
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