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General NPI Number Information
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NPI Number | 1104021914
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Entity Type | Organization
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Legal Business Name | RELIANCE MEDICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 107 GLEN OAK BLVD STE 200
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City | HENDERSONVILLE
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State | TN
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Zip | 37075
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Country | US
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Telephone | 615-822-1993
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Fax |
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Provider Business Mailing Address
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Address Line | 107 GLEN OAK BLVD STE 200
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City | HENDERSONVILLE
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State | TN
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Zip | 37075
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Country | US
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Telephone | 615-822-1993
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MARGARET B IKARD
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Credential | D.O.
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Telephone | 615-202-4347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO1756
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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