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General NPI Number Information
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NPI Number | 1013179415
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Entity Type | Organization
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Legal Business Name | TARRIA O. MCNEAL
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 901 12TH AVE S SUITE 5
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City | NASHVILLE
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State | TN
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Zip | 37203-4705
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Country | US
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Telephone | 615-291-6700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 330729
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City | NASHVILLE
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State | TN
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Zip | 37203-7505
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Country | US
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Telephone | 615-403-8227
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | MS. TARRIA O MCNEAL
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Credential |
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Telephone | 615-403-8227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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