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General NPI Number Information
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NPI Number | 1881039774
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Entity Type | Organization
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Legal Business Name | NASHVILLE ACUTE TRAUMA LLC
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 3443 DICKERSON PIKE SKYLINE MOB, SUITE 100
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City | NASHVILLE
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State | TN
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Zip | 37207-2519
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Country | US
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Telephone | 973-251-1132
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80237
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City | PHILADELPHIA
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State | PA
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Zip | 19101-1237
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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 | OFFICER
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Name | KAREN MARIE VAUGHN
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Credential |
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Telephone | 973-251-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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