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NPI 1730236621

NPI 1730236621 : KEITH DOUGLAS MD : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1730236621
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    Entity Type          |    Individual 
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    Provider Name        |    KEITH DOUGLAS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    02/27/2025
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Provider Practice Location Address
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    Address Line         |    8 CITY BLVD STE. 300
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37209-2560
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    Country              |    US
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    Telephone            |    615-329-6600
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    Fax                  |    615-321-6226
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Provider Business Mailing Address
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    Address Line         |    PO BOX 306556 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37230-6556
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    Country              |    US
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    Telephone            |    615-329-2294
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    Fax                  |    615-695-1483
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    44953
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    44953
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    License Number State |    TN
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