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General NPI Number Information
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NPI Number | 1134462450
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Entity Type | Individual
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Provider Name | ANDREW GORDON MEADOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 1800 CHURCH ST STE 100
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City | NASHVILLE
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State | TN
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Zip | 37203-2233
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Country | US
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Telephone | 615-329-3624
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF TENNESSEE 910 MADISON AVENUE SUITE 1031
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City | MEMPHIS
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State | TN
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Zip | 38163-0001
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Country | US
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Telephone | 901-448-5364
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 55515
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 55515
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License Number State | TN
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