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General NPI Number Information
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NPI Number | 1083637490
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Entity Type | Organization
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Legal Business Name | HANCOCK DIABETES & ENDOCRINE CENTER PLLC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 745 S CHURCH ST SUITE 501
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City | MURFREESBORO
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State | TN
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Zip | 37130-4984
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Country | US
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Telephone | 615-867-1193
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Fax | 615-867-1197
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Provider Business Mailing Address
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Address Line | 745 S CHURCH ST SUITE 501
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City | MURFREESBORO
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State | TN
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Zip | 37130-4984
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Country | US
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Telephone | 615-867-1193
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Fax | 615-867-1197
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Authorized Official
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Title or Position | OWNER
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Name | DR. LLOYD D HANCOCK SR.
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Credential |
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Telephone | 615-867-1193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD36917
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License Number State | TN
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