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General NPI Number Information
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NPI Number | 1194286658
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Entity Type | Organization
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Legal Business Name | EXPERT SPINE CARE INC.
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 1010 4TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37219-1110
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Country | US
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Telephone | 615-329-0808
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Fax | 615-329-3885
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Provider Business Mailing Address
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Address Line | PO BOX 331088
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City | NASHVILLE
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State | TN
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Zip | 37203-7508
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Country | US
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Telephone | 615-329-0808
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Fax | 615-329-3585
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH BLYTHE
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Credential | MD
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Telephone | 615-329-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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