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General NPI Number Information
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NPI Number | 1710660824
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Entity Type | Organization
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Legal Business Name | NEW YOU TENNESSEE PLLC
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 300 20TH AVE N STE 301
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City | NASHVILLE
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State | TN
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Zip | 37203-2173
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Country | US
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Telephone | 516-616-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 125 MINEOLA AVE STE 200
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2042
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Country | US
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Telephone | 516-616-5500
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Fax |
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Authorized Official
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Title or Position | MD
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Name | SHAWN GARBER
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Credential | MD
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Telephone | 516-616-5500
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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 |
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License Number State |
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