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General NPI Number Information
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NPI Number | 1740234590
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Entity Type | Organization
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Legal Business Name | TENNESSEE ONCOLOGY PLLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 920 S HARTMANN DR STE 340
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City | LEBANON
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State | TN
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Zip | 37090-4101
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Country | US
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Telephone | 615-784-4039
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Fax | 615-871-9682
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Provider Business Mailing Address
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Address Line | PO BOX 440100
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City | NASHVILLE
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State | TN
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Zip | 37244-0100
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Country | US
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Telephone | 615-329-0570
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Fax |
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Authorized Official
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Title or Position | PAYER RELATIONS MANAGER
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Name | PATTIE DOUGLAS
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Credential |
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Telephone | 615-514-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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