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General NPI Number Information
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NPI Number | 1427045533
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Entity Type | Individual
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Provider Name | SANDRA GOLAMCO MD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 2001 CHARLOTTE AVE STE 205
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City | NASHVILLE
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State | TN
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Zip | 37203-2032
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Country | US
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Telephone | 615-294-8453
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Fax | 615-369-3062
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Provider Business Mailing Address
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Address Line | 2001 CHARLOTTE AVE STE 205
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City | NASHVILLE
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State | TN
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Zip | 37203-2032
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Country | US
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Telephone | 615-294-8453
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Fax | 615-369-3062
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD 45568
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License Number State | TN
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