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General NPI Number Information
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NPI Number | 1093989451
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Entity Type | Organization
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Legal Business Name | NASHVILLE SPINE & REHAB CENTER, LLC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 8115 ISABELLA LN SUITE 8
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City | BRENTWOOD
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State | TN
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Zip | 37027-9109
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Country | US
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Telephone | 615-370-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 8115 ISABELLA LN SUITE 8
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City | BRENTWOOD
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State | TN
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Zip | 37027-9109
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Country | US
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Telephone | 615-370-0830
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. JASON EDWARD PAYNE
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Credential | D.C.
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Telephone | 615-370-0830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1869
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License Number State | TN
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