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General NPI Number Information
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NPI Number | 1841278702
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Entity Type | Individual
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Provider Name | KRIS B SAADEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 130 W. RAVINE
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City | KINGSPORT
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State | TN
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Zip | 37660
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Country | US
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Telephone | 423-968-1144
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Fax | 423-968-3453
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Provider Business Mailing Address
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Address Line | 3053 W. STATE ST.
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City | BRISTOL
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State | TN
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Zip | 37620
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Country | US
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Telephone | 423-768-1144
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Fax | 423-968-3453
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 42089
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License Number State | TN
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