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General NPI Number Information
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NPI Number | 1184295321
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Entity Type | Organization
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Legal Business Name | SAPLING GROVE ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 240 MEDICAL PARK BLVD STE 2400
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City | BRISTOL
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State | TN
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Zip | 37620-7354
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Country | US
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Telephone | 423-274-6361
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Fax | 423-274-6362
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Provider Business Mailing Address
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Address Line | 240 MEDICAL PARK BLVD STE 2400
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City | BRISTOL
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State | TN
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Zip | 37620-7354
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Country | US
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Telephone | 423-274-6361
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Fax | 423-274-6362
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Authorized Official
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Title or Position | CEO
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Name | TAMMY D ANDREWS
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Credential |
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Telephone | 423-817-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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