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General NPI Number Information
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NPI Number | 1184695942
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Entity Type | Individual
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Provider Name | ANDREW WRIGHT STANFIELD PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 275 JACKSON MEADOWS DR
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City | HERMITAGE
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State | TN
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Zip | 37076-1453
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Country | US
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Telephone | 334-677-6360
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Fax | 334-768-6540
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Provider Business Mailing Address
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Address Line | 2002 ENCLAVE CIR
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City | NASHVILLE
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State | TN
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Zip | 37211-7464
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Country | US
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Telephone | 334-803-3733
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9018
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License Number State | TN
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