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General NPI Number Information
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NPI Number | 1023440609
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Entity Type | Individual
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Provider Name | JAMES MARTIN MEADOWS MSE, ATC
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Gender | Male
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | ONE CUMBERLAND SQUARE
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City | LEBANON
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State | TN
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Zip | 37087
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Country | US
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Telephone | 615-218-0632
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Fax | 615-547-1309
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Provider Business Mailing Address
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Address Line | 308 KILLIAN WAY
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City | MOUNT JULIET
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State | TN
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Zip | 37122-4197
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Country | US
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Telephone | 615-547-1232
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Fax | 615-547-1309
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1311
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License Number State | TN
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