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General NPI Number Information
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NPI Number | 1336194554
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Entity Type | Individual
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Provider Name | TONYA HAYES NASH MSPAS, PA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 14201 HIGHWAY 79 N UNIT 4
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City | BUCHANAN
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State | TN
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Zip | 38222-4183
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Country | US
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Telephone | 731-986-2933
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Fax | 731-986-2938
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Provider Business Mailing Address
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Address Line | 3493 VETERANS DR N SUITE C
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City | HUNTINGDON
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State | TN
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Zip | 38344-6227
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Country | US
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Telephone | 731-986-2933
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Fax | 731-986-2938
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0000001388
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License Number State | TN
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