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General NPI Number Information
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NPI Number | 1346186269
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Entity Type | Individual
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Provider Name | ADLER PUCKETT AEMT/EMTP
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Gender | Male
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 728 S ELLINGTON PKWY
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City | LEWISBURG
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State | TN
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Zip | 37091-3460
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Country | US
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Telephone | 931-359-6391
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Fax |
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Provider Business Mailing Address
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Address Line | 2806 MCCANLESS RD
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City | NOLENSVILLE
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State | TN
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Zip | 37135-9434
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Country | US
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Telephone | 615-310-5202
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | 221292
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License Number State | TN
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