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General NPI Number Information
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NPI Number | 1952956500
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Entity Type | Organization
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Legal Business Name | AMED MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 4536 NOLENSVILLE PIKE STE F
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City | NASHVILLE
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State | TN
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Zip | 37211-4786
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Country | US
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Telephone | 615-454-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 4536 NOLENSVILLE PIKE STE F
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City | NASHVILLE
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State | TN
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Zip | 37211-4786
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Country | US
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Telephone | 615-454-6986
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Fax | 877-596-7454
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Authorized Official
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Title or Position | PROVIDER/SECRETARY/ORGANIZER
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Name | DILMON ABDULLAH
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Credential | FNP
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Telephone | 615-454-6986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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