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General NPI Number Information
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NPI Number | 1053413237
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Entity Type | Organization
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Legal Business Name | KENNETH H. TOZER II, MD
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4022 LIBERTY ST
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City | MILAN
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State | TN
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Zip | 38358-3453
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Country | US
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Telephone | 731-686-7004
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Fax | 731-686-7078
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Provider Business Mailing Address
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Address Line | 4022 LIBERTY ST
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City | MILAN
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State | TN
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Zip | 38358-3453
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Country | US
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Telephone | 731-686-7004
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Fax | 731-686-7078
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Authorized Official
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Title or Position | SURGEON
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Name | DR. KENNETH HAROLD TOZER II
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Credential | M.D.
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Telephone | 731-686-7004
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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 | MD016387
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License Number State | TN
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