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General NPI Number Information
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NPI Number | 1144655853
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Entity Type | Organization
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Legal Business Name | RUTHERFORD PERINATAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 9204 SHERIDAN PARK CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-1748
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Country | US
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Telephone | 613-957-9027
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Fax |
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Provider Business Mailing Address
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Address Line | 9204 SHERIDAN PARK CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-1748
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Country | US
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Telephone | 613-957-9027
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. KATHLEEN MAYOR-LYNN
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Credential | MD
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Telephone | 615-957-9027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD44564
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License Number State | TN
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