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General NPI Number Information
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NPI Number | 1922138262
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINCE WEST A MEMBER OF COVENANT HEALTH
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 9330 PARK WEST BLVD SUITE 402
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City | KNOXVILLE
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State | TN
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Zip | 37923-4308
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Country | US
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Telephone | 865-690-3003
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Fax | 865-690-6404
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Provider Business Mailing Address
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Address Line | 1400 CENTERPOINT BLVD SUITE 202
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City | KNOXVILLE
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State | TN
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Zip | 37932-1979
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Country | US
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Telephone | 865-374-5200
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Fax | 865-374-5201
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Authorized Official
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Title or Position | PRESIDENT
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Name | MONTY SCOTT
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Credential |
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Telephone | 865-374-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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