Provider Information for 1013359660
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Mr. JACOB DANIEL DYE M.S.
Sex: Male
NPI: 1013359660
Last Updated: 2013-07-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013359660 | ||||||||
| Enumeration Date | 2013-07-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9053 COUCHVILLE PIKE MOUNT JULIET, TN 37122-7615 United States Phone: 615-900-7267 | Fax: | ||||||||
| Primary Practice Address | 9053 COUCHVILLE PIKE MOUNT JULIET, TN 37122-7615 United States Phone: 615-900-7267 | Fax: | ||||||||
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