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General NPI Number Information
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NPI Number | 1083059372
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL OF COOL SPRINGS PLLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 28 WHITE BRIDGE RD STE 208
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City | NASHVILLE
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State | TN
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Zip | 37205-1467
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Country | US
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Telephone | 615-224-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 28 WHITE BRIDGE RD STE 208
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City | NASHVILLE
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State | TN
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Zip | 37205-1467
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Country | US
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Telephone | 615-224-7779
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | CHRISTOPHER RAY RICHARDS
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Credential |
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Telephone | 404-735-4806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | TN
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