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General NPI Number Information
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NPI Number | 1033694724
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Entity Type | Organization
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Legal Business Name | PAIN INSTITUTE OF NASHVILLE, PLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 491 SAGE RD N # 100
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City | WHITE HOUSE
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State | TN
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Zip | 37188-9360
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Country | US
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Telephone | 615-369-6500
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Fax | 615-866-3934
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Provider Business Mailing Address
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Address Line | PO BOX 330175
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City | NASHVILLE
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State | TN
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Zip | 37203-7501
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Country | US
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Telephone | 615-369-6500
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Fax | 615-866-3934
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | RON WOOD
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Credential |
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Telephone | 615-369-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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