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General NPI Number Information
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NPI Number | 1235545005
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Entity Type | Organization
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Legal Business Name | SURGICAL PROFESSIONALS, INC
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 1810 TOLIVER TRCE
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City | MOUNT JULIET
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State | TN
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Zip | 37122-4940
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Country | US
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Telephone | 615-831-3711
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Fax | 615-831-3713
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Provider Business Mailing Address
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Address Line | PO BOX 110339
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City | NASHVILLE
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State | TN
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Zip | 37222-0339
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Country | US
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Telephone | 615-831-3711
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Fax | 615-831-3713
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | BILLY S WILLIAMS
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Credential | SA-C
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Telephone | 615-831-3711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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