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General NPI Number Information
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NPI Number | 1033308960
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Entity Type | Organization
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Legal Business Name | UNITED NEIGHBORHOOD HEALTH SERVICES, INC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 1501 12TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37203-4909
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Country | US
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Telephone | 615-269-3461
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Fax | 615-383-1950
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Provider Business Mailing Address
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Address Line | 1501 12TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37203-4909
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Country | US
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Telephone | 615-269-3461
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Fax | 615-383-1950
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Authorized Official
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Title or Position | CEO
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Name | MARY A BUFWACK
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Credential |
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Telephone | 615-228-8902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | TN
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