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General NPI Number Information
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NPI Number | 1265533897
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Entity Type | Organization
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Legal Business Name | SPECTRUM PAIN CLINICS INC.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 8132 CORDOVA RD
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City | CORDOVA
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State | TN
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Zip | 38016-6005
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Country | US
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Telephone | 901-405-6470
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Fax | 901-747-2338
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Provider Business Mailing Address
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Address Line | 8132 CORDOVA RD
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City | CORDOVA
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State | TN
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Zip | 38016-6005
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Country | US
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Telephone | 901-405-6470
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Fax | 901-747-2338
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY F HALL
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Credential | MD
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Telephone | 931-840-9588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | TN
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