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NPI 1982647665

NPI 1982647665 : MARK DOUGLAS PRESSLEY DO, MPH : LIVINGSTON, TN

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General NPI Number Information
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    NPI Number           |    1982647665
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    Entity Type          |    Individual 
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    Provider Name        |    MARK DOUGLAS PRESSLEY DO, MPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2006
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    Last Update Date     |    11/06/2018
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Provider Practice Location Address
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    Address Line         |    LIVINGSTON REGIONAL HOSPITAL 315 OAK STREET
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    City                 |    LIVINGSTON
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    State                |    TN
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    Zip                  |    38570
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    Country              |    US
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    Telephone            |    931-403-2175
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    Fax                  |    931-403-2345
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Provider Business Mailing Address
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    Address Line         |    PO BOX 227 
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    City                 |    ALLONS
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    State                |    TN
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    Zip                  |    38541-0227
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    Country              |    US
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    Telephone            |    540-907-5967
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    Fax                  |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    DO 1007
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DO 1007
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    License Number State |    TN
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