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General NPI Number Information
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NPI Number | 1487668166
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Entity Type | Individual
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Provider Name | REITA NIRANKARI AGARWAL MD, MBA,MS
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 1919 CHARLOTTE AVE CHARLOTTE WOMENS CLINIC
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City | NASHVILLE
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State | TN
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Zip | 37203-2161
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Country | US
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Telephone | 615-867-6000
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Fax | 615-867-5965
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Provider Business Mailing Address
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Address Line | 625 N HIGHLAND AVE
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City | MURFREESBORO
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State | TN
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Zip | 37130-2495
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Country | US
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Telephone | 615-904-8911
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Fax | 615-904-0136
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 31764
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 31764
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MD0000031764
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 31764
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License Number State | TN
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