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General NPI Number Information
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NPI Number | 1750024105
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Entity Type | Individual
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Provider Name | ISAAC DOUGLASS WERNER MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2291 CORNERSVILLE HWY
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City | LEWISBURG
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State | TN
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Zip | 37091-5121
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Country | US
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Telephone | 931-288-8030
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Fax | 931-288-8034
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Provider Business Mailing Address
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Address Line | 2291 CORNERSVILLE HWY
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City | LEWISBURG
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State | TN
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Zip | 37091-5121
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Country | US
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Telephone | 931-288-8030
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Fax | 931-288-8034
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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 | 74573
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License Number State | TN
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