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General NPI Number Information
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NPI Number | 1366027153
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Entity Type | Individual
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Provider Name | GREGORY DANIEL TAO DDS
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Gender | Male
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 6312 US-41 ALT STE 100
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City | PLEASANT VIEW
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State | TN
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Zip | 37146
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Country | US
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Telephone | 615-619-7598
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Fax |
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Provider Business Mailing Address
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Address Line | 144 ALTON RD
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City | NASHVILLE
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State | TN
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Zip | 37205-4202
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Country | US
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Telephone | 765-404-3395
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 12607
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License Number State | TN
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