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General NPI Number Information
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NPI Number | 1437307535
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Entity Type | Organization
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Legal Business Name | MIDDLE TENNESSEE NEPHROLOGY
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 270 EAST MAIN STREET SUITE 200
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City | GALLATIN
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State | TN
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Zip | 37066
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Country | US
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Telephone | 615-452-3250
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Fax | 615-452-5186
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Provider Business Mailing Address
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Address Line | 270 EAST MAIN STREET SUITE 200
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City | GALLATIN
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State | TN
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Zip | 37066
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Country | US
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Telephone | 615-452-3250
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Fax | 615-452-5186
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. J. MATHEWS JOSEPH
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Credential | M.D.
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Telephone | 615-452-3250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 38656
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 84048
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 43872
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License Number State | TN
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