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General NPI Number Information
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NPI Number | 1427479328
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Entity Type | Organization
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Legal Business Name | TENNESSEE PAIN MANAGEMENT ASSOCIATES
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 530 US HWY 64 SUITE 5
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City | WAYNESBORO
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State | TN
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Zip | 38485
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Country | US
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Telephone | 931-332-4131
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Fax | 931-722-9627
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | WAYNESBORO
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State | TN
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Zip | 38485-0655
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Country | US
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Telephone | 931-722-6690
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Fax | 931-722-6691
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOE I HALL
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Credential | M.D.
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Telephone | 931-722-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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