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General NPI Number Information
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NPI Number | 1649576414
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Entity Type | Organization
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Legal Business Name | CRESCENT MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 04/03/2011
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Provider Practice Location Address
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Address Line | 1412 COUNTY HOSPITAL RD
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City | NASHVILLE
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State | TN
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Zip | 37218-3007
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Country | US
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Telephone | 615-687-2521
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Fax |
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Provider Business Mailing Address
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Address Line | 107 ASHTON PARK BLVD
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City | FRANKLIN
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State | TN
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Zip | 37067-6415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DR
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Name | FAIZA AMIN
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Credential | MD
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Telephone | 615-807-0562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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