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General NPI Number Information
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NPI Number | 1417930512
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Entity Type | Individual
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Provider Name | MATTHEW TIERNAN SPEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 09/29/2024
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE STE 400
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City | NASHVILLE
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State | TN
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Zip | 37205-4900
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Country | US
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Telephone | 615-297-2700
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Fax | 615-386-2399
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Provider Business Mailing Address
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Address Line | 3024 BUSINESS PARK CIR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-3132
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Country | US
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Telephone | 615-239-2018
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Fax | 615-851-2018
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 30582
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License Number State | TN
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