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NPI Code Detail

MEDICARE: DR. DANIEL S JAVIER M.D.

MEDICARE: DR. DANIEL S JAVIER M.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
12084P0800XPsychiatry PhysicianMD25432TN

General Provider Information

NPI Number : 1760456313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL S JAVIER M.D.
Provider Business Mailing Address
First Line : PO BOX 198721
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-8721
Country : US
Telephone Number : 615-463-7577
Fax Number :
Provider Business Practice Location Address
First Line : 511 8TH ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3093
Country : US
Telephone Number : 931-920-7200
Fax Number : 931-920-7202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 08/28/2013

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