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General NPI Number Information
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NPI Number | 1114996238
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Entity Type | Individual
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Provider Name | MONROE J ABRAM ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3500 JOHN MERRITT BLVD
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City | NASHVILLE
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State | TN
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Zip | 37209
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Country | US
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Telephone | 615-963-7829
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 GRAPELEAF WAY
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City | ANTIOCH
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State | TN
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Zip | 37013-4971
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Country | US
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Telephone | 615-366-1800
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Fax | 615-963-2158
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 510
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License Number State | TN
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