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NPI 1083807358

NPI 1083807358 : MEDICAL NECESSITIES, INC. : ASHLAND CITY, TN

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General NPI Number Information
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    NPI Number           |    1083807358
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL NECESSITIES, INC. 
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Dates
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    Enumeration Date     |    08/21/2007
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    Last Update Date     |    04/20/2008
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Provider Practice Location Address
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    Address Line         |    102 BOYD ST 
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    City                 |    ASHLAND CITY
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    State                |    TN
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    Zip                  |    37015-1601
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    Country              |    US
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    Telephone            |    615-792-3214
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    Fax                  |    615-792-4570
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Provider Business Mailing Address
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    Address Line         |    607 W DUE WEST AVE 
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    City                 |    MADISON
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    State                |    TN
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    Zip                  |    37115-4431
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    Country              |    US
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    Telephone            |    615-865-6269
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    Fax                  |    615-865-4169
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |    DR. DONALD JOSEPH BOATRIGHT 
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    Credential           |    M.D.
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    Telephone            |    615-792-3214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    16522
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1864
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    16522
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    License Number State |    TN
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