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General NPI Number Information
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NPI Number | 1770571176
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Entity Type | Individual
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Provider Name | BILL SEKULOVSKI MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 1325 W MAIN ST
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City | FRANKLIN
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State | TN
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Zip | 37064-3786
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Country | US
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Telephone | 615-591-4750
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Fax | 615-794-0081
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Provider Business Mailing Address
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Address Line | 2781 LAFAYETTE DR
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-9762
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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 |
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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 | 42744
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License Number State | TN
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