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General NPI Number Information
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NPI Number | 1144016064
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Entity Type | Organization
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Legal Business Name | TENNESSEE ONCOLOGY, PLLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 647 DUNLOP LN STE 200
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5165
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Country | US
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Telephone | 615-284-4646
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Fax | 615-284-4676
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Provider Business Mailing Address
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Address Line | PO BOX 440100
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City | NASHVILLE
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State | TN
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Zip | 37244-0100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PAYER RELATIONS MGR
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Name | PATTIE Y DOUGLAS
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Credential |
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Telephone | 615-514-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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