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General NPI Number Information
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NPI Number | 1417113317
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Entity Type | Individual
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Provider Name | JAMES RICHARD GOLDENRING MD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1310 24TH AVE S TENNESSEE VALLEY HELATH CARE SYSTEM
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City | NASHVILLE
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State | TN
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Zip | 37212-2637
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Country | US
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Telephone | 615-936-3726
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Fax |
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Provider Business Mailing Address
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Address Line | 465 21ST AVE S MRB III, RM. 4160A
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City | NASHVILLE
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State | TN
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Zip | 37232-0031
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Country | US
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Telephone | 615-936-3726
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 037547
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License Number State | GA
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