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General NPI Number Information
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NPI Number | 1417983099
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Entity Type | Organization
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Legal Business Name | THE SURGICAL CLINIC PLLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 410 42ND AVE N STE 400
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City | NASHVILLE
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State | TN
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Zip | 37209-3658
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Country | US
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Telephone | 615-346-6213
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Fax | 615-346-6225
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Provider Business Mailing Address
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Address Line | PO BOX 291626
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City | NASHVILLE
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State | TN
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Zip | 37229-1626
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Country | US
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Telephone | 615-346-6213
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Fax | 615-346-6225
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN BOSKIND
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Credential |
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Telephone | 615-292-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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