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General NPI Number Information
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NPI Number | 1740915719
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Entity Type | Organization
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Legal Business Name | MUSIC CITY PHYSICIANS GROUP PLLC
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 225 S 11TH ST STE 101
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City | NASHVILLE
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State | TN
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Zip | 37206-3131
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Country | US
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Telephone | 615-469-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S 11TH ST STE 101B
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City | NASHVILLE
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State | TN
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Zip | 37206-3131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MRS. YVONNE DAILEY
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Credential |
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Telephone | 732-244-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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