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General NPI Number Information
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NPI Number | 1639465818
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Entity Type | Individual
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Provider Name | DARIN R. PAYNE P.T., D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2011
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 3087 SPARTA ST
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City | MCMINNVILLE
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State | TN
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Zip | 37110-1364
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Country | US
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Telephone | 931-668-1595
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Fax | 931-668-1598
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Provider Business Mailing Address
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Address Line | 112 BRADFORD BLVD STE 500
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City | GORDONSVILLE
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State | TN
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Zip | 38563-4618
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Country | US
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Telephone | 615-591-6590
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Fax | 615-591-6601
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9007
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License Number State | TN
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