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NPI 1790775179

NPI 1790775179 : WESLEY L COKER MD : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1790775179
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    Entity Type          |    Individual 
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    Provider Name        |    WESLEY L COKER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    06/23/2010
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Provider Practice Location Address
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    Address Line         |    2400 PATTERSON ST SUITE 300
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-1562
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    Country              |    US
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    Telephone            |    615-342-6300
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    Fax                  |    615-342-6350
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Provider Business Mailing Address
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    Address Line         |    1321 MURFREESBORO PIKE SUITE 510
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37217-2626
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    Country              |    US
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    Telephone            |    615-366-8890
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    Fax                  |    615-366-3379
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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        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    8735
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    License Number State |    TN
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