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General NPI Number Information
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NPI Number | 1962877712
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICAL CARE OF MONROE COUNTY PC
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/04/2017
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Provider Practice Location Address
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Address Line | 4233 HIGHWAY 411
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City | MADISONVILLE
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State | TN
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Zip | 37354-1571
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Country | US
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Telephone | 423-442-8084
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1110
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City | MADISONVILLE
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State | TN
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Zip | 37354-1074
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Country | US
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Telephone | 423-442-8084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARBARA A LEVIN
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Credential | MD
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Telephone | 423-442-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 12266
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License Number State | TN
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