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General NPI Number Information
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NPI Number | 1962174227
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Entity Type | Individual
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Provider Name | RHONDA MICHELLE MCANALLY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 9625 KROGER PARK DR STE 300
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City | KNOXVILLE
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State | TN
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Zip | 37922-5880
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Country | US
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Telephone | 865-293-6465
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Fax | 865-305-4136
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Provider Business Mailing Address
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Address Line | 9217 ARLINGTON RIDGE WAY
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City | POWELL
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State | TN
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Zip | 37849-2477
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Country | US
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Telephone | 865-293-6465
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APN0000030167
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License Number State | TN
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