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General NPI Number Information
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NPI Number | 1326887928
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Entity Type | Organization
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Legal Business Name | ADVANCED HYPERBARIC LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 5864 HIGHWAY 153 SUITE 100
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City | HIXSON
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State | TN
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Zip | 37343
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Country | US
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Telephone | 423-486-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 5864 HIGHWAY 153 SUITE 100
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City | HIXSON
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State | TN
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Zip | 37343
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Country | US
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Telephone | 423-486-0010
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DOUGLAS HERRIN
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Credential |
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Telephone | 423-825-4268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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