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General NPI Number Information
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NPI Number | 1396991584
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Entity Type | Individual
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Provider Name | TAMMY HASKINS ST
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Gender | Female
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 4230 HARDING RD STE 300 MEDICAL PLAZA EAST
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City | NASHVILLE
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State | TN
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Zip | 37205-2158
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Country | US
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Telephone | 615-783-1269
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 S MOUNT SINAI RD
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City | DICKSON
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State | TN
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Zip | 37055-3700
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Country | US
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Telephone | 615-740-8876
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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