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General NPI Number Information
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NPI Number | 1083599534
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Entity Type | Organization
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Legal Business Name | TENNESSEE BREATHE FREE SINUS & ALLERGY CENTERS PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3443 DICKERSON PIKE STE 320
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City | NASHVILLE
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State | TN
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Zip | 37207-2523
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Country | US
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Telephone | 805-210-5491
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Fax |
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Provider Business Mailing Address
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Address Line | 3443 DICKERSON PIKE STE 320
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City | NASHVILLE
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State | TN
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Zip | 37207-2523
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALICIA BROSIUS
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Credential |
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Telephone | 805-210-5491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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