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General NPI Number Information
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NPI Number | 1629606066
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Entity Type | Individual
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Provider Name | TRENT WILLIAM STETHEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 107 CHARLES E DAVIS BLVD
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City | NASHVILLE
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State | TN
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Zip | 37210-2745
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Country | US
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Telephone | 615-227-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 FOSTER AVE
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City | NASHVILLE
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State | TN
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Zip | 37210-5307
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Country | US
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Telephone | 615-227-3000
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 66918
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License Number State | TN
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