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General NPI Number Information
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NPI Number | 1699717033
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Entity Type | Organization
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Legal Business Name | JEFFREY E. HAZLEWOOD, M.D., P.C.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 100 PHYSICIANS WAY SUITE 250
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City | LEBANON
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State | TN
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Zip | 37090-8102
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Country | US
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Telephone | 615-444-3307
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Fax | 615-444-5579
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Provider Business Mailing Address
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Address Line | PO BOX 2149
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City | LEBANON
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State | TN
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Zip | 37088-2149
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Country | US
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Telephone | 615-444-3307
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Fax | 615-444-5579
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY E. HAZLEWOOD
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Credential | M.D.
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Telephone | 615-444-3307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD0000027823
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License Number State | TN
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