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General NPI Number Information
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NPI Number | 1952600777
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Entity Type | Organization
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Legal Business Name | ACTIVIZE KNOXVILLE CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 1645 DOWNTOWN WEST BLVD UNIT 34
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City | KNOXVILLE
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State | TN
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Zip | 37919-5411
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Country | US
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Telephone | 865-789-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 DOWNTOWN WEST BLVD UNIT 34
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City | KNOXVILLE
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State | TN
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Zip | 37919-5411
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Country | US
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Telephone | 865-789-2650
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. PATRICK ROLAND ZITT
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Credential | D.C.
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Telephone | 865-789-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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