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General NPI Number Information
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NPI Number | 1871724427
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Entity Type | Individual
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Provider Name | STEVEN WILLIAM MUGLESTON MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 1 TRILLIUM WAY
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City | CORBIN
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State | KY
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Zip | 40701-8727
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Country | US
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Telephone | 606-523-8514
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Fax |
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Provider Business Mailing Address
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Address Line | 445 W BLOUNT AVE APT 513
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City | KNOXVILLE
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State | TN
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Zip | 37920-1106
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Country | US
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Telephone | 865-235-3839
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 45140
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License Number State | KY
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