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General NPI Number Information
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NPI Number | 1659147056
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Entity Type | Organization
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Legal Business Name | TENNESSEE ORTHOPAEDIC ALLIANCE PA
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 8131 SAWYER BROWN RD STE 503
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City | BELLEVUE
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State | TN
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Zip | 37221-1430
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Country | US
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Telephone | 615-267-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 306556
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City | NASHVILLE
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State | TN
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Zip | 37230-6556
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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 | CREDENTIALING MANAGER
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Name | SHANNON L AIUTO
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Credential |
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Telephone | 865-314-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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