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General NPI Number Information
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NPI Number | 1235166091
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Entity Type | Individual
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Provider Name | CHARLES H PADGET M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 1801 N JACKSON ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-8259
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Country | US
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Telephone | 931-455-3649
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Fax | 770-238-3883
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Provider Business Mailing Address
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Address Line | PO BOX 402
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City | TULLAHOMA
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State | TN
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Zip | 37388-0402
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Country | US
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Telephone | 877-732-3978
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Fax | 770-238-3883
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD0000037540
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License Number State | TN
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