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General NPI Number Information
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NPI Number | 1588677678
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Entity Type | Individual
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Provider Name | ATIF A ATYIA MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 1003 E JACKSON BLVD
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City | JONESBOROUGH
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State | TN
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Zip | 37659-1538
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Country | US
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Telephone | 423-753-6077
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Fax | 423-753-8788
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Provider Business Mailing Address
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Address Line | 1003 E JACKSON BLVD
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City | JONESBOROUGH
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State | TN
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Zip | 37659-1538
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Country | US
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Telephone | 423-753-6077
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Fax | 423-753-8788
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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 | MD30739
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD30739
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD30739
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 30739
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License Number State | TN
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