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General NPI Number Information
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NPI Number | 1326671629
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Entity Type | Organization
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Legal Business Name | DARKHORSE ORTHOPEDICS INC
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Dates
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Enumeration Date | 02/15/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 1010 4TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37219-1110
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Country | US
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Telephone | 615-902-3199
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331088
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City | NASHVILLE
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State | TN
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Zip | 37203-7508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OFFICER
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Name | MR. JOSEPH R BLYTHE
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Credential | DO
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Telephone | 615-329-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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