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General NPI Number Information
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NPI Number | 1356057780
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Entity Type | Individual
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Provider Name | TRAVIS STUART ALLEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 3443 DICKERSON PIKE STE 230
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City | NASHVILLE
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State | TN
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Zip | 37207-2522
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Country | US
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Telephone | 615-769-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 402 WHITLEY WAY
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City | MOUNT JULIET
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State | TN
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Zip | 37122-1005
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Country | US
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Telephone | 817-773-1849
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 73530
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 73530
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License Number State | TN
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