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General NPI Number Information
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NPI Number | 1225204340
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Entity Type | Organization
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Legal Business Name | TENNESSEE ORTHOPAEDIC ALLIANCE PA
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 315 N WASHINGTON AVE STE 204
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City | COOKEVILLE
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State | TN
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Zip | 38501-2660
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Country | US
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Telephone | 615-383-2693
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Fax |
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Provider Business Mailing Address
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Address Line | 608 NORRIS AVE
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City | NASHVILLE
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State | TN
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Zip | 37204-3708
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Country | US
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Telephone | 615-695-1432
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Fax | 615-695-1483
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY MCSWAIN
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Credential |
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Telephone | 865-243-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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