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General NPI Number Information
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NPI Number | 1114010386
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PODIATRISTS OF TENNESSEE
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 214 SKYLINE CIR
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City | DICKSON
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State | TN
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Zip | 37055-2561
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Country | US
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Telephone | 615-441-0002
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Fax | 615-446-2827
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Provider Business Mailing Address
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Address Line | 214 SKYLINE CIR
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City | DICKSON
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State | TN
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Zip | 37055-2561
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Country | US
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Telephone | 615-441-0002
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Fax | 615-446-2827
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. RAMGSH BABU PAVULURI
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Credential | DPM
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Telephone | 615-441-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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