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General NPI Number Information
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NPI Number | 1518974732
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Entity Type | Individual
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Provider Name | DENISE R DINGLE MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 516 W MAIN ST STE C
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City | SMITHVILLE
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State | TN
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Zip | 37166-1142
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Country | US
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Telephone | 615-597-4049
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Fax | 615-597-7300
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Provider Business Mailing Address
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Address Line | 516 W MAIN ST STE C
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City | SMITHVILLE
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State | TN
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Zip | 37166-1142
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Country | US
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Telephone | 615-597-4049
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Fax | 615-597-7300
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD022016
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License Number State | TN
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