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General NPI Number Information
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NPI Number | 1871594333
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Entity Type | Organization
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Legal Business Name | MOUNTAIN PEOPLES HEALTH COUNCILS INC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 460 INDUSTRIAL LN
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City | ONEIDA
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State | TN
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Zip | 37841-6294
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Country | US
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Telephone | 423-569-3800
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Fax | 423-569-1744
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Provider Business Mailing Address
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Address Line | 470 INDUSTRIAL LN
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City | ONEIDA
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State | TN
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Zip | 37841-6294
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Country | US
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Telephone | 423-286-4141
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Fax | 423-286-4145
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES C LOVETT
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Credential |
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Telephone | 423-286-4141
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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 | TN
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