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General NPI Number Information
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NPI Number | 1457342644
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Entity Type | Individual
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Provider Name | ROLAND DOUGLAS EAVEY MD SM
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 3601 TVC
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City | NASHVILLE
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State | TN
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Zip | 37232-0001
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Country | US
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Telephone | 615-322-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone | 615-322-3000
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Fax |
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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 | 47542
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 47542
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | MD0000044593
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License Number State | TN
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