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General NPI Number Information
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NPI Number | 1841446986
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Entity Type | Individual
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Provider Name | JERE WAYNE CHESSOR
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Gender | Male
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1800 MEDICAL CENTER PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37129-2567
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Country | US
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Telephone | 615-831-3711
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Fax | 615-831-3713
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Provider Business Mailing Address
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Address Line | 1800 MEDICAL CENTER PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37129-2567
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Country | US
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Telephone | 615-831-3711
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Fax | 615-831-3713
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 74420
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License Number State | TN
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