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General NPI Number Information
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NPI Number | 1851423859
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Entity Type | Individual
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Provider Name | JAMIE S. GROSS DMD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7041 HIGHWAY 70 S SUITE 106
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City | NASHVILLE
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State | TN
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Zip | 37221-5238
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Country | US
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Telephone | 615-662-7878
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Fax | 615-662-9919
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Provider Business Mailing Address
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Address Line | 8282 COLLINS RD
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City | NASHVILLE
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State | TN
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Zip | 37221-3901
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Country | US
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Telephone | 615-646-9003
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7002
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License Number State | TN
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