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General NPI Number Information
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NPI Number | 1134316946
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Entity Type | Organization
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Legal Business Name | STROKE & HEART ATTACK PREVENTION CENTER, PLLC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 2000 GLEN ECHO RD SUITE 122
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City | NASHVILLE
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State | TN
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Zip | 37215-2857
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Country | US
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Telephone | 615-297-5300
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Fax | 615-297-5301
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Provider Business Mailing Address
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Address Line | 2000 GLEN ECHO RD SUITE 122
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City | NASHVILLE
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State | TN
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Zip | 37215-2857
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Country | US
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Telephone | 615-297-5300
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Fax | 615-297-5301
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALFRED S CALLAHAN III
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Credential | M.D.
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Telephone | 615-297-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD009933
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License Number State | TN
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