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General NPI Number Information
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NPI Number | 1366042293
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Entity Type | Individual
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Provider Name | MEREDITH GRAYSON GAYLORD BS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 2004 HAYES STREET SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37203-2689
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Country | US
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Telephone | 615-324-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 CATALINA WAY
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City | NOLENSVILLE
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State | TN
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Zip | 37135-9577
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Country | US
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Telephone | 757-416-2695
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2717
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License Number State | TN
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