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General NPI Number Information
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NPI Number | 1871762856
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Entity Type | Organization
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Legal Business Name | STEVEN ELLIOTT OD AND ASSOCIATES INC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 6719 MAYNARDVILLE PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37918-5348
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Country | US
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Telephone | 865-922-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 6719 MAYNARDVILLE PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37918-5348
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Country | US
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Telephone | 865-377-4141
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Fax | 865-377-3235
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Authorized Official
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Title or Position | PRESIDENT/AUTHORIZED OFFICIAL
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Name | STEVEN D. ELLIOTT
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Credential | O.D.
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Telephone | 865-377-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2347
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License Number State | TN
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