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General NPI Number Information
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NPI Number | 1306858329
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Entity Type | Organization
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Legal Business Name | AQUINAS INPATIENT SERVICES
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 975 E 3RD ST BOX 94
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2103
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Country | US
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Telephone | 423-778-2998
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 MAIN ST
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City | DALLAS
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State | TX
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Zip | 75201-4612
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Country | US
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Telephone | 214-712-2403
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. GREGORY BYRNE
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Credential |
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Telephone | 214-712-2403
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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 | N/A
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License Number State |
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