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General NPI Number Information
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NPI Number | 1891848883
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Entity Type | Organization
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Legal Business Name | PREMIER EYE CONSULTANTS, PLLC
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Dates
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Enumeration Date | 01/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 924 LAUREL HILL RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-2023
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Country | US
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Telephone | 865-523-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 924 LAUREL HILL RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-2023
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Country | US
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Telephone | 865-523-3526
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KIMBERLY K FENNELL
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Credential |
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Telephone | 865-523-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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