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General NPI Number Information
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NPI Number | 1114010931
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Entity Type | Organization
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Legal Business Name | SKYLINE SURGERY ASSOCIATES, P.L.C.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 3443 DICKERSON PIKE SUITE 270
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City | NASHVILLE
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State | TN
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Zip | 37207-2519
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Country | US
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Telephone | 615-612-0760
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Fax | 615-612-0640
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Provider Business Mailing Address
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Address Line | 3443 DICKERSON PIKE SUITE 270
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City | NASHVILLE
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State | TN
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Zip | 37207-2519
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Country | US
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Telephone | 615-612-0760
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Fax | 615-612-0640
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Authorized Official
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Title or Position | COO
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Name | DR. THOMAS BRELIN TAYLOR JR.
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Credential | M.D.
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Telephone | 615-612-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 029893
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License Number State | TN
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