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General NPI Number Information
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NPI Number | 1639495195
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PARTNERS OF NASHVILLE, PLLC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 397 WALLACE RD SUITE 407
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City | NASHVILLE
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State | TN
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Zip | 37211-4854
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Country | US
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Telephone | 615-420-6500
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Fax | 615-420-6501
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Provider Business Mailing Address
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Address Line | 397 WALLACE RD SUITE 407
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City | NASHVILLE
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State | TN
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Zip | 37211-4854
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Country | US
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Telephone | 615-942-1040
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Fax | 615-942-1060
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ERIC F. STILES
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Credential | MD
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Telephone | 615-420-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35955
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License Number State | TN
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