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General NPI Number Information
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NPI Number | 1942252648
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Entity Type | Organization
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Legal Business Name | TERRACE PEDIATRIC GROUP LLC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 342 21ST AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1848
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Country | US
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Telephone | 615-327-9371
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Fax | 615-329-6652
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Provider Business Mailing Address
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Address Line | 342 21ST AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1848
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Country | US
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Telephone | 615-327-9371
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Fax | 615-329-6652
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Authorized Official
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Title or Position | PARTNER
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Name | JAMES S PRICE
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Credential | MD
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Telephone | 615-327-9371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 6169
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License Number State | TN
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