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General NPI Number Information
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NPI Number | 1861492431
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 300 RIVER RD
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City | SNEEDVILLE
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State | TN
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Zip | 37869-3806
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Country | US
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Telephone | 423-733-2061
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Fax | 423-733-1965
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Provider Business Mailing Address
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Address Line | PO BOX 850
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City | ROGERSVILLE
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State | TN
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Zip | 37857-0850
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Country | US
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Telephone | 423-272-9163
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Fax | 423-921-6920
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Authorized Official
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Title or Position | CEO
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Name | MRS. LINDA W BUCK
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Credential |
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Telephone | 423-272-9163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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