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General NPI Number Information
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NPI Number | 1942205166
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Entity Type | Organization
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Legal Business Name | CLAIBORNE MEDICAL CENTER
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 1850 OLD KNOXVILLE RD
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City | TAZEWELL
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State | TN
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Zip | 37879-3625
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Country | US
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Telephone | 423-626-4211
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Fax | 423-626-9926
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Provider Business Mailing Address
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Address Line | 1420 CENTERPOINT BLVD BLDG C
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City | KNOXVILLE
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State | TN
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Zip | 37932-1960
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Country | US
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Telephone | 865-374-6864
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Fax | 865-374-6926
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | RICK CARRINGER
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Credential | VP
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Telephone | 865-374-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000014
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License Number State | TN
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