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NPI 1972570661

NPI 1972570661 : THOMAS CRAIG BEELER M.D. : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1972570661
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS CRAIG BEELER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/02/2006
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    Last Update Date     |    05/15/2014
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Provider Practice Location Address
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    Address Line         |    1422 OLD WEISGARBER RD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37909-1293
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    Country              |    US
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    Telephone            |    865-558-4400
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    Fax                  |    865-558-4471
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Provider Business Mailing Address
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    Address Line         |    260 FORT SANDERS WEST BLVD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37922-3355
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    Country              |    US
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    Telephone            |    865-558-4400
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    Fax                  |    865-558-4471
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    MD9389
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    9389
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    License Number State |    TN
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