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NPI 1215008032

NPI 1215008032 : MIDDLE TENNESSEE PULMONARY ASSOCIATES, LLC : HERMITAGE, TN

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General NPI Number Information
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    NPI Number           |    1215008032
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIDDLE TENNESSEE PULMONARY ASSOCIATES, LLC 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    5651 FRIST BLVD STE 213 
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    City                 |    HERMITAGE
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    State                |    TN
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    Zip                  |    37076-2056
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    Country              |    US
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    Telephone            |    615-250-6900
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    Fax                  |    615-467-6692
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Provider Business Mailing Address
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    Address Line         |    5651 FRIST BLVD STE 213 
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    City                 |    HERMITAGE
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    State                |    TN
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    Zip                  |    37076-2056
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    Country              |    US
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    Telephone            |    615-250-6900
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    Fax                  |    615-467-6692
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ORLANDO D RODRIGUEZ 
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    Credential           |    MD
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    Telephone            |    615-250-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    TN
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Taxonomy #4
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    363LC0200X
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    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
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    License Number       |    
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    License Number State |    TN
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Taxonomy #10
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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