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General NPI Number Information
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NPI Number | 1578467460
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Entity Type | Organization
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Legal Business Name | STAR OPTOMETRY TN, PC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 390 HARDING PL STE 104
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City | NASHVILLE
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State | TN
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Zip | 37211-3924
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Country | US
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Telephone | 615-485-6251
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Fax | 615-915-2917
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Provider Business Mailing Address
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Address Line | 110 COLLEGE ST STE E1
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City | ATHENS
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State | AL
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Zip | 35611-2714
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Country | US
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Telephone |
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Fax | 615-915-2917
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Authorized Official
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Title or Position | RCM MANAGER
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Name | KELLEY KOTT
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Credential |
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Telephone | 256-795-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | NULL
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