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General NPI Number Information
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NPI Number | 1659480804
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Entity Type | Organization
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Legal Business Name | GASTON & MURRELL FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 2211 CRESTMOOR RD
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City | NASHVILLE
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State | TN
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Zip | 37215-2020
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Country | US
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Telephone | 615-383-3993
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Fax | 615-383-2656
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Provider Business Mailing Address
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Address Line | 2211 CRESTMOOR RD
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City | NASHVILLE
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State | TN
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Zip | 37215-2020
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Country | US
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Telephone | 615-383-3993
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Fax | 615-383-2656
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | MR. NATHAN ANDREW MURRELL
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Credential | D.M.D.
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Telephone | 615-383-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0521666
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License Number State | TN
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