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General NPI Number Information
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NPI Number | 1942221924
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Entity Type | Organization
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Legal Business Name | E. TN OB-GYN P.C.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 609 MCFARLAND ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3976
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Country | US
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Telephone | 423-586-2151
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Fax | 423-586-0873
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Provider Business Mailing Address
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Address Line | 609 MCFARLAND ST 525 MCFARLAND STREET
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City | MORRISTOWN
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State | TN
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Zip | 37814-3976
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Country | US
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Telephone | 423-586-2151
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Fax | 423-586-0873
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Authorized Official
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Title or Position | CREDENTIAL DEPT
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Name | MRS. MARY JONES
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Credential |
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Telephone | 423-586-2151
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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 | TN
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