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General NPI Number Information
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NPI Number | 1053411694
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Entity Type | Individual
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Provider Name | VINAY PRASAD MD
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/11/2017
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Provider Practice Location Address
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Address Line | C-3322 MEDICAL CTR N
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City | NASHVILLE
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State | TN
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Zip | 37232-2561
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Country | US
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Telephone | 615-322-3234
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Fax | 615-322-5551
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Provider Business Mailing Address
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Address Line | VANDERBILT MEDICAL CTR C-3322 MEDICAL CTR N
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City | NASHVILLE
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State | TN
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Zip | 37232-2561
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Country | US
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Telephone | 615-322-3234
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Fax | 615-322-5551
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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 | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | E-4800
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | 55418
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | 35.090576
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License Number State | OH
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