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General NPI Number Information
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NPI Number | 1730211301
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Entity Type | Individual
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Provider Name | DAVID T. TENN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 235 E NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277-2858
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Country | US
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Telephone | 559-625-1710
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Fax | 559-625-1690
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Provider Business Mailing Address
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Address Line | 1618 S JACQUES CT
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City | VISALIA
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State | CA
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Zip | 93277-0819
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Country | US
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Telephone | 559-738-9318
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Fax | 559-625-1690
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G52045
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License Number State | CA
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