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General NPI Number Information
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NPI Number | 1861371148
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Entity Type | Individual
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Provider Name | CIARA UPHOFF
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 260 FORT SANDERS WEST BLVD BLDG 6
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City | KNOXVILLE
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State | TN
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Zip | 37922-3355
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Country | US
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Telephone | 865-558-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 237 COLUMBUS DR
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City | LENOIR CITY
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State | TN
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Zip | 37771-3805
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Country | US
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Telephone | 865-816-4132
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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