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General NPI Number Information
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NPI Number | 1831818111
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Entity Type | Organization
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Legal Business Name | STRONGTREE LLC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 7217 CLINTON HWY STE D
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City | POWELL
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State | TN
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Zip | 37849-5221
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Country | US
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Telephone | 865-333-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 121 STONE RD
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City | KNOXVILLE
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State | TN
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Zip | 37920-5076
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Country | US
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Telephone | 618-263-8139
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLINTON DALE WHITTLER
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Credential | DC
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Telephone | 618-263-8139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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