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NPI Code Detail

MEDICARE: DR. JOEL FOSTER DIAMBRA

MEDICARE: DR. JOEL FOSTER DIAMBRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1529TN

General Provider Information

NPI Number : 1922813807
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL FOSTER DIAMBRA
Provider Business Mailing Address
First Line : 5318 COMICE WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-6822
Country : US
Telephone Number : 865-414-3356
Fax Number :
Provider Business Practice Location Address
First Line : 101 DALTON PLACE WAY STE 105
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4357
Country : US
Telephone Number : 865-414-3356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 02/10/2025

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Directions to “ DR. JOEL FOSTER DIAMBRA ” Practice Location

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