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General NPI Number Information
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NPI Number | 1265643191
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Entity Type | Organization
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Legal Business Name | TAMMY COLLINS MD PC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 404 CASTLE HEIGHTS AVE N SUITE F
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City | LEBANON
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State | TN
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Zip | 37087-3805
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Country | US
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Telephone | 615-443-7990
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Fax | 615-453-1585
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Provider Business Mailing Address
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Address Line | 404 CASTLE HEIGHTS AVE SUITE F
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City | LEBANON
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State | TN
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Zip | 37087-3805
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Country | US
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Telephone | 615-443-7990
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Fax | 615-453-1585
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JIM E COLLINS
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Credential |
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Telephone | 615-443-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36728
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License Number State | TN
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