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General NPI Number Information
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NPI Number | 1073939526
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Entity Type | Organization
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Legal Business Name | PERFORMANCE CARE, LLC
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 2713 MCCAMPBELL AVE
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City | NASHVILLE
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State | TN
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Zip | 37214
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Country | US
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Telephone | 618-771-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 2713 MCCAMPBELL AVE
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City | NASHVILLE
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State | TN
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Zip | 37214-2935
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Country | US
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Telephone | 618-771-2026
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT DAVID STRICKER
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Credential |
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Telephone | 618-771-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty 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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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