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NPI Code Detail

MEDICARE: DR. DANIEL W WEST AU D.

MEDICARE: DR. DANIEL W WEST AU D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistA1061TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13010421OTHERTNBLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number : 1215991740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL W WEST AU D.
Provider Business Mailing Address
First Line : 102 BLYTHEWOOD DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4828
Country : US
Telephone Number : 931-388-3646
Fax Number : 931-388-6184
Provider Business Practice Location Address
First Line : 102 BLYTHEWOOD DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4828
Country : US
Telephone Number : 931-388-3646
Fax Number : 931-388-6184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/08/2007

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