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General NPI Number Information
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NPI Number | 1932382173
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Entity Type | Organization
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Legal Business Name | TENNESSEE VALLEY BONE AND JOINT, LLC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 627 CONGRESS PKWY S
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City | ATHENS
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State | TN
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Zip | 37303-2259
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Country | US
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Telephone | 423-476-5554
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11004
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City | CHATTANOOGA
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State | TN
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Zip | 37401-2004
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Country | US
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Telephone | 423-476-5554
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | RICKEY L HUTCHESON
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Credential | DO
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Telephone | 423-476-5554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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