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General NPI Number Information
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NPI Number | 1902280555
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Entity Type | Organization
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Legal Business Name | KARMAN GOSSETT, L. AC.
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 1439 NW BROAD ST
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City | MURFREESBORO
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State | TN
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Zip | 37129-1707
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Country | US
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Telephone | 615-785-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 REGENWOOD DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-5277
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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 | LICENSED ACUPUNCTURIST
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Name | KARMAN GOSSETT
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Credential | L. AC.
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Telephone | 615-785-4160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 263
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License Number State | TN
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