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General NPI Number Information
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NPI Number | 1003401233
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Entity Type | Organization
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Legal Business Name | WELLNESS NASHVILLE PLLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 100 COVEY DR STE 309
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City | FRANKLIN
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State | TN
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Zip | 37067-5663
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Country | US
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Telephone | 615-970-7884
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Fax |
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Provider Business Mailing Address
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Address Line | 618 GRASSMERE PARK STE 12A
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City | NASHVILLE
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State | TN
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Zip | 37211-3643
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Country | US
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Telephone | 615-815-1754
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | JAN BRAMLET
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Credential |
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Telephone | 615-294-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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