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General NPI Number Information
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NPI Number | 1326007113
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Entity Type | Individual
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Provider Name | JULIAN HOWARD FIELDS MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 1080 NEAL ST SUITE 103
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City | COOKEVILLE
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State | TN
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Zip | 38501-0942
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Country | US
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Telephone | 931-526-3316
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Fax | 931-526-3318
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Provider Business Mailing Address
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Address Line | 866 E 10TH ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-1959
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Country | US
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Telephone | 931-526-2155
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 00023125
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 42748
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD0000042748
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License Number State | TN
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