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General NPI Number Information
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NPI Number | 1679860431
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Entity Type | Organization
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Legal Business Name | HIGHLAND RIM FOOT AND ANKLE CLINIC, PLLC
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 1948 N JACKSON ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-2204
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Country | US
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Telephone | 931-393-3338
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Fax | 931-454-2056
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Provider Business Mailing Address
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Address Line | 1948 N JACKSON ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-2204
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Country | US
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Telephone | 931-393-3338
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Fax | 931-454-2056
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MATTHEW D MURPHEY
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Credential | DPM
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Telephone | 931-393-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 715
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License Number State | TN
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