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General NPI Number Information
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NPI Number | 1144535071
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Entity Type | Individual
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Provider Name | LORA REMONIA WILLIFORD RPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 8044 COLEY DAVIS RD
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City | NASHVILLE
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State | TN
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Zip | 37221-2310
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Country | US
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Telephone | 615-646-4466
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Fax | 615-673-1273
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Provider Business Mailing Address
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Address Line | 9746 NORTHFORK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-8333
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Country | US
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Telephone | 615-776-3773
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3320
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License Number State | TN
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