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General NPI Number Information
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NPI Number | 1083909204
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Entity Type | Organization
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Legal Business Name | COMPLETE EXPRESS CARE, LLC
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1211 DINAH SHORE BLVD
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City | WINCHESTER
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State | TN
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Zip | 37398-1107
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Country | US
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Telephone | 931-967-6669
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Fax | 931-967-6606
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Provider Business Mailing Address
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Address Line | 1211 DINAH SHORE BLVD
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City | WINCHESTER
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State | TN
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Zip | 37398-1107
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Country | US
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Telephone | 931-967-6669
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Fax | 931-967-6606
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Authorized Official
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Title or Position | OWNER
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Name | MR. FLOYD DON DAVIS
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Credential |
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Telephone | 931-967-6669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | TN
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