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General NPI Number Information
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NPI Number | 1982863924
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Entity Type | Individual
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Provider Name | MR. SCOTT PENN FARRIS
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Gender | Male
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 10142 PARKSIDE DR STE 114
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City | KNOXVILLE
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State | TN
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Zip | 37922-1955
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Country | US
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Telephone | 865-588-3173
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Fax |
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Provider Business Mailing Address
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Address Line | 200 TECH CENTER DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-2747
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Country | US
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Telephone | 865-637-9711
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN121613
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN 136220
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 22375
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License Number State | TN
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