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General NPI Number Information
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NPI Number | 1376474858
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Entity Type | Organization
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Legal Business Name | BLUE RIBBON MEDICAL
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 116 FRANK MARTIN RD
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City | SHELBYVILLE
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State | TN
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Zip | 37160-7192
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Country | US
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Telephone | 931-685-4060
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Fax | 931-685-4062
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Provider Business Mailing Address
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Address Line | 4336 SEASCAPE LN
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City | MURFREESBORO
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State | TN
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Zip | 37128-2507
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Country | US
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Telephone | 931-685-4060
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Fax | 931-685-4062
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | WARREN J STOFFEY
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Credential | PA-C
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Telephone | 615-828-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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