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General NPI Number Information
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NPI Number | 1013782499
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Entity Type | Organization
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Legal Business Name | MURFREESBORO MEDICAL CLINIC, P.A.
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 3325 SHORED ROAD
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City | MURFREESBORO
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State | TN
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Zip | 37127
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Country | US
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Telephone | 615-893-4480
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Fax |
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Provider Business Mailing Address
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Address Line | 1272 GARRISON DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-2598
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Country | US
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Telephone | 615-893-4480
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | AMBER GHARING
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Credential |
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Telephone | 615-867-7925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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