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General NPI Number Information
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NPI Number | 1376973461
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Entity Type | Organization
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Legal Business Name | MATRIX MEDICAL PLUS
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 424 CHURCH ST STE 2600
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City | NASHVILLE
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State | TN
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Zip | 37219-2379
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Country | US
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Telephone | 877-564-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 424 CHURCH ST STE 220
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City | NASHVILLE
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State | TN
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Zip | 37219-2464
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Country | US
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Telephone | 877-564-3627
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Fax | 480-718-7643
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Authorized Official
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Title or Position | MANAGER CREDENTIALING/ENROLLMENT
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Name | STEPHANIE PETERSON
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Credential |
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Telephone | 877-564-3627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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