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General NPI Number Information
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NPI Number | 1982269916
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Entity Type | Organization
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Legal Business Name | VOLUNTEER FAMILY MEDICAL
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 190 COMMUNITY CENTER DR STE 102
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City | PIGEON FORGE
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State | TN
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Zip | 37863-6243
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Country | US
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Telephone | 865-320-4748
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1421
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City | PIGEON FORGE
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State | TN
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Zip | 37868-1421
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Country | US
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Telephone | 865-320-4748
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | RHONDA DAVIS
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Credential | GM
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Telephone | 865-320-4748
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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 |
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License Number State |
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