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General NPI Number Information
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NPI Number | 1902876352
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Entity Type | Organization
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Legal Business Name | RADIOLOGY & NUCLEAR MEDICINE ASSOCIATES
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1411 W BADDOUR PKWY
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City | LEBANON
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State | TN
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Zip | 37087-2513
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Country | US
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Telephone | 615-444-2320
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Fax | 615-449-3163
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Provider Business Mailing Address
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Address Line | 200 SIGNATURE PLACE
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City | LEBANON
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State | TN
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Zip | 37087
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Country | US
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Telephone | 615-444-2320
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Fax | 615-449-3163
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DEBBIE DISMUKES
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Credential |
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Telephone | 615-444-2320
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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 |
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License Number State | TN
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