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General NPI Number Information
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NPI Number | 1336357912
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Entity Type | Organization
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Legal Business Name | ARMADILLO MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 420 COLLEGE ST STE A
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City | LAFAYETTE
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State | TN
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Zip | 37083-1751
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Country | US
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Telephone | 615-688-5383
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Fax | 888-972-5790
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Provider Business Mailing Address
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Address Line | 420 COLLEGE ST STE A
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City | LAFAYETTE
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State | TN
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Zip | 37083-1751
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Country | US
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Telephone | 615-688-5383
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Fax | 888-972-5790
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Authorized Official
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Title or Position | PRESIDENT / PRACTICE ADMINISTRATOR
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Name | DR. PHILIP W HUNT
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Credential | MD
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Telephone | 615-688-5383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD000025613
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License Number State | TN
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