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General NPI Number Information
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NPI Number | 1972501534
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Entity Type | Individual
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Provider Name | CRAIG COLE ANDERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 305 N BELLWOOD RD
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City | MORRISTOWN
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State | TN
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Zip | 37814-1120
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Country | US
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Telephone | 423-587-8200
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Fax | 423-587-8204
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Provider Business Mailing Address
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Address Line | 7100 COMMERCE WAY SUITE 180
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City | BRENTWOOD
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State | TN
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Zip | 37027-2829
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Country | US
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Telephone | 615-465-7000
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Fax | 615-465-3007
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 17726
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License Number State | TN
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