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General NPI Number Information
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NPI Number | 1316369168
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Entity Type | Organization
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Legal Business Name | M.PAULA FEDLER D.D.S.,PLLC
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 390 HARDING PL STE 101
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City | NASHVILLE
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State | TN
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Zip | 37211-3924
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Country | US
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Telephone | 615-285-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 390 HARDING PL STE 101
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City | NASHVILLE
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State | TN
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Zip | 37211-3924
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Country | US
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Telephone | 615-285-3949
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CHRIS FEDLER
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Credential |
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Telephone | 615-285-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9073
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License Number State | TN
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