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General NPI Number Information
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NPI Number | 1144645185
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Entity Type | Organization
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Legal Business Name | WELSHWOOD HEALTH CARE, PLLC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 417 WELSHWOOD DR SUITE 114
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City | NASHVILLE
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State | TN
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Zip | 37211-4209
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Country | US
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Telephone | 615-832-5141
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Fax | 615-832-5142
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Provider Business Mailing Address
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Address Line | 417 WELSHWOOD DR SUITE 114
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City | NASHVILLE
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State | TN
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Zip | 37211-4209
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Country | US
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Telephone | 615-832-5141
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Fax | 615-832-5142
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | NICOLE MERCER
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Credential | FNP-C
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Telephone | 615-832-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0000017621
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License Number State | TN
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