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General NPI Number Information
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NPI Number | 1699938985
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Entity Type | Individual
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Provider Name | ALWYN DALVESTER HARRIOTT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 3443 DICKERSON PIKE STE 370
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City | NASHVILLE
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State | TN
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Zip | 37207-2535
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Country | US
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Telephone | 615-769-2799
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Fax | 615-769-2798
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Provider Business Mailing Address
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Address Line | 3443 DICKERSON PIKE STE 370
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City | NASHVILLE
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State | TN
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Zip | 37207-2535
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Country | US
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Telephone | 615-769-2799
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Fax | 615-769-2798
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036133520
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301084078
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 54772
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License Number State | TN
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