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General NPI Number Information
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NPI Number | 1043381460
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Entity Type | Organization
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Legal Business Name | MTMC HOSPITALIST SERVICES
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 N HIGHLAND AVE
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City | MURFREESBORO
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State | TN
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Zip | 37130-3837
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Country | US
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Telephone | 615-396-4694
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Fax | 615-396-6751
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Provider Business Mailing Address
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Address Line | 400 N HIGHLAND AVE
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City | MURFREESBORO
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State | TN
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Zip | 37130-3837
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Country | US
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Telephone | 615-396-4694
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Fax | 615-396-6751
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Authorized Official
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Title or Position | CLINICAL COORDINATOR
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Name | PAMELA S MOSS
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Credential |
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Telephone | 615-396-4694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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