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General NPI Number Information
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NPI Number | 1851112544
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Entity Type | Organization
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Legal Business Name | TENNESSEE ONCOLOGY
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2114 N JACKSON ST
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City | TULLAHOMA
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State | TN
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Zip | 37388-2208
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Country | US
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Telephone | 931-454-9423
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Fax | 931-454-9690
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Provider Business Mailing Address
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Address Line | 2004 HAYES ST STE 800
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City | NASHVILLE
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State | TN
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Zip | 37203-2659
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Country | US
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Telephone | 615-329-0570
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Fax | 615-750-1728
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Authorized Official
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Title or Position | PAYER RELATIONS MANAGER
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Name | PATTIE Y DOUGLAS
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Credential |
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Telephone | 615-514-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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