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General NPI Number Information
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NPI Number | 1881673739
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Entity Type | Individual
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Provider Name | TODD M TALMADGE MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 1625 NASHVILLE ST
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City | RUSSELLVILLE
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State | KY
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Zip | 42276-8853
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Country | US
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Telephone | 270-725-4561
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3339
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City | CLARKSVILLE
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State | TN
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Zip | 37043-3339
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Country | US
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Telephone | 931-647-5034
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Fax | 931-552-6663
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD36221
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License Number State | TN
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