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NPI 1992846786

NPI 1992846786 : WOMEN'S HEALTH PARTNERS OF EAST TENNESSEE PC : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1992846786
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    Entity Type          |    Organization 
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    Legal Business Name  |    WOMEN'S HEALTH PARTNERS OF EAST TENNESSEE PC 
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Dates
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    Enumeration Date     |    02/12/2007
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    Last Update Date     |    04/08/2008
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Provider Practice Location Address
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    Address Line         |    9330 PARK WEST BLVD STE 300 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37923-4311
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    Country              |    US
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    Telephone            |    865-531-1400
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    Fax                  |    865-690-9750
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Provider Business Mailing Address
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    Address Line         |    200 NEW YORK AVE STE 150 
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    City                 |    OAK RIDGE
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    State                |    TN
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    Zip                  |    37830-5227
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    Country              |    US
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    Telephone            |    865-481-0200
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    Fax                  |    865-481-3085
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     SANDRA COLLIER CRABTREE 
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    Credential           |    
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    Telephone            |    865-481-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    007939
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    License Number State |    TN
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