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General NPI Number Information
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NPI Number | 1548549785
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SPECIALISTS OF MIDDLE TENNESSEE
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 1508 CARL ADAMS DR STE 102
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City | MURFREESBORO
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State | TN
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Zip | 37129-4375
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Country | US
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Telephone | 615-896-9493
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Fax | 615-494-4956
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Provider Business Mailing Address
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Address Line | 1508 CARL ADAMS DR STE 102
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City | MURFREESBORO
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State | TN
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Zip | 37129-4375
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Country | US
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Telephone | 615-896-9493
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Fax | 615-494-4956
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Authorized Official
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Title or Position | DPM
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Name | MEEGHAN NICHOLE GILES
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Credential |
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Telephone | 615-896-9493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 719
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License Number State | TN
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