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General NPI Number Information
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NPI Number | 1255527313
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Entity Type | Organization
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Legal Business Name | H. CLAY NEWSOME,III M.D.PLC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 300 20TH AVE N SUITE G-3
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City | NASHVILLE
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State | TN
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Zip | 37203-2131
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Country | US
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Telephone | 615-284-2500
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Fax | 615-284-2200
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Provider Business Mailing Address
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Address Line | 300 20TH AVE N SUITE G-3
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City | NASHVILLE
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State | TN
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Zip | 37203-2131
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Country | US
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Telephone | 615-284-2500
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Fax | 615-284-2200
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. H. CLAY NEWSOME III
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Credential | MD
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Telephone | 615-284-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 8556
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License Number State | TN
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