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General NPI Number Information
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NPI Number | 1750387635
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Entity Type | Organization
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Legal Business Name | TENNESSEE ADVANCED NEURODIAGNOSTIC INSTITUTE, INC. (TANII)
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4525 HARDING RD STE 102
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City | NASHVILLE
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State | TN
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Zip | 37205-2145
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Country | US
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Telephone | 615-463-3034
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Fax | 615-463-3187
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Provider Business Mailing Address
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Address Line | PO BOX 601449
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City | DALLAS
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State | TX
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Zip | 75360-1449
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Country | US
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Telephone | 214-368-9966
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Fax | 214-368-9977
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Authorized Official
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Title or Position | PRESIDENT/ CHIEF EXECUTIVE OFFICER
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Name | THOMAS DRIBER
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Credential | PH.D
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Telephone | 615-463-3034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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