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General NPI Number Information
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NPI Number | 1841834322
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Entity Type | Organization
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Legal Business Name | SOUTHERN ORTHOCARE, INC
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 10241 KINGSTON PIKE STE 4
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City | KNOXVILLE
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State | TN
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Zip | 37922-3240
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Country | US
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Telephone | 865-672-6740
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Fax | 865-672-6741
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Provider Business Mailing Address
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Address Line | 622 W 1ST NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-4544
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Country | US
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Telephone | 423-307-1890
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Fax | 423-307-1891
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH HUNTSMAN
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Credential |
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Telephone | 423-307-1890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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