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General NPI Number Information
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NPI Number | 1467491019
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Entity Type | Individual
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Provider Name | ANDREW SCOTT KENNEDY MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 2410 PATTERSON ST BASEMENT LEVEL
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City | NASHVILLE
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State | TN
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Zip | 37203-1551
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Country | US
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Telephone | 615-342-4850
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Fax | 615-342-4901
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Provider Business Mailing Address
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Address Line | PO BOX 742276
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City | ATLANTA
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State | GA
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Zip | 30374-2276
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Country | US
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Telephone | 615-533-2441
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Fax | 866-716-8706
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 95-00117
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License Number State | NC
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