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Contact Information

1 TEAM LLC TAZEWELL
150 HESTER LN
TAZEWELL, TN37879-5088
 Phone: 423-851-1149
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for 1 TEAM LLC TAZEWELL

NPI Number 1710425368
LBN Legal business name 1 TEAM LLC TAZEWELL
Authorized official CHARLES DOTY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2017
Last updated 02/03/2017 - About 9 years ago
Identifiers
TN License # 1366442782
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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