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NPI 1033570833

NPI 1033570833 : SAMUEL TOTH PA : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1033570833
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    Entity Type          |    Individual 
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    Provider Name        |    SAMUEL TOTH PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/08/2016
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    Last Update Date     |    03/03/2025
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Provider Practice Location Address
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    Address Line         |    1912 CHARLOTTE AVE 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-2107
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    Country              |    US
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    Telephone            |    615-590-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3024 BUSINESS PARK CIR 
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    City                 |    GOODLETTSVILLE
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    State                |    TN
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    Zip                  |    37072-3132
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    Country              |    US
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    Telephone            |    615-239-2018
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    Fax                  |    
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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       |    5370160302
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    6365
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    License Number State |    TN
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