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General NPI Number Information
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NPI Number | 1033632682
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Entity Type | Organization
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Legal Business Name | WEST TENNESSEE EYE CARE, PC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2204 CRESTMOOR RD STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2002
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Country | US
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Telephone | 615-301-5894
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Fax | 615-712-9371
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Provider Business Mailing Address
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Address Line | 2204 CRESTMOOR RD STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2002
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Country | US
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Telephone | 615-301-5894
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Fax | 615-712-9371
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BRANTLEY L WESCOTT
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Credential | PHARM.D.
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Telephone | 615-301-5894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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