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General NPI Number Information
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NPI Number | 1114479235
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Entity Type | Organization
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Legal Business Name | TENNESSEE INTEGRATED MEDICINE
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 11562 CHAPMAN HWY
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City | SEYMOUR
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State | TN
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Zip | 37865-5044
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Country | US
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Telephone | 865-609-3330
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Fax | 865-609-3390
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Provider Business Mailing Address
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Address Line | 11562 CHAPMAN HWY
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City | SEYMOUR
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State | TN
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Zip | 37865-5044
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Country | US
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Telephone | 865-609-3330
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Fax | 865-609-3390
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL STEVEN GIAMMO
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Credential | DC
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Telephone | 865-609-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20929
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License Number State | TN
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