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General NPI Number Information
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NPI Number | 1942672209
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Entity Type | Individual
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Provider Name | JOHN BARSOTTI
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Gender | Male
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 320 N PETERS RD STE C
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City | KNOXVILLE
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State | TN
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Zip | 37922-7509
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Country | US
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Telephone | 901-413-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 HIGHLAND DR
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City | CHATTANOOGA
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State | TN
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Zip | 37405-2317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7155
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10488
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License Number State | TN
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