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General NPI Number Information
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NPI Number | 1376508663
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Entity Type | Individual
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Provider Name | SHYAM A JHA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 528 N UNIVERSITY ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-3012
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Country | US
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Telephone | 615-968-7727
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Fax | 615-467-8587
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Provider Business Mailing Address
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Address Line | 528 N UNIVERSITY ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-3012
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Country | US
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Telephone | 615-968-7727
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Fax | 615-467-8587
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD26688
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | K3764
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD26688
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | K3764
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License Number State | TX
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