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General NPI Number Information
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NPI Number | 1063791309
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Entity Type | Organization
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Legal Business Name | SILVER CONTINENCE CARE - OH, LLC
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 28550 WESTLAKE VILLAGE DR
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City | WESTLAKE
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State | OH
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Zip | 44145-7608
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Country | US
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Telephone | 615-244-5720
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Fax | 888-215-7042
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Provider Business Mailing Address
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Address Line | 1001 HAWKINS ST
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City | NASHVILLE
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State | TN
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Zip | 37203-4758
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Country | US
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Telephone | 615-244-5720
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Fax | 888-215-7042
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Authorized Official
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Title or Position | CEO
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Name | MR. FRAZER BUNTIN
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Credential |
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Telephone | 615-244-5720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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