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General NPI Number Information
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NPI Number | 1407283047
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Entity Type | Organization
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Legal Business Name | ROBERT M MAGILL, MD PLLC
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 7047 LEE HWY SUITE 101
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1793
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Country | US
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Telephone | 423-648-9808
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2026
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City | HIXSON
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State | TN
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Zip | 37343-2045
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Country | US
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Telephone | 423-648-9808
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ROBERT M MAGILL
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Credential | M.D.
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Telephone | 423-648-9808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD31967
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License Number State | TN
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