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General NPI Number Information
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NPI Number | 1164553228
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE CENTER CORP
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 4126 NOLENSVILLE PIKE
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City | NASHVILLE
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State | TN
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Zip | 37211-4717
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Country | US
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Telephone | 615-834-2170
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Fax | 615-833-6995
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Provider Business Mailing Address
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Address Line | 4126 NOLENSVILLE PIKE
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City | NASHVILLE
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State | TN
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Zip | 37211-4717
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Country | US
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Telephone | 615-834-2170
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Fax | 615-833-6995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD MCDOW
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Credential | M.D.
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Telephone | 615-834-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD0000013863
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License Number State | TN
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