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General NPI Number Information
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NPI Number | 1235004102
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Entity Type | Organization
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Legal Business Name | BODY SHOP FACE & BODY RESTORATION
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 24 PEAVINE PLZ STE 101
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City | CROSSVILLE
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State | TN
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Zip | 38571-7937
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Country | US
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Telephone | 931-202-2832
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Fax |
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Provider Business Mailing Address
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Address Line | 24 PEAVINE PLZ STE 101
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City | CROSSVILLE
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State | TN
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Zip | 38571-7937
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Country | US
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Telephone | 931-202-2832
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS ARTHUR ALLINGHAM
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Credential |
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Telephone | 931-484-9511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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