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General NPI Number Information
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NPI Number | 1497724124
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Entity Type | Individual
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Provider Name | SUZETTE ANN DENISE KILGORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 555 HARTSVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-2400
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Country | US
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Telephone | 615-328-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3110
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Country | US
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Telephone | 615-442-8343
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Fax | 615-246-6202
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 040794
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 040794
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 040794
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License Number State | TN
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