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NPI 1720520455

NPI 1720520455 : EPIX ANESTHESIA OF TENNESSEE PLLC : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1720520455
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    Entity Type          |    Organization 
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    Legal Business Name  |    EPIX ANESTHESIA OF TENNESSEE PLLC 
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Dates
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    Enumeration Date     |    11/11/2016
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    1818 ALBION ST 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37208-2918
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    Country              |    US
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    Telephone            |    615-341-4000
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    Fax                  |    817-856-0655
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Provider Business Mailing Address
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    Address Line         |    PO BOX 223622 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75222-3622
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    Country              |    US
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    Telephone            |    800-930-6313
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    Fax                  |    817-856-0655
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     TIM  ADAMS 
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    Credential           |    MD
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    Telephone            |    678-580-1349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    
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