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General NPI Number Information
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NPI Number | 1194417022
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Entity Type | Organization
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Legal Business Name | BEATING PULSE LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 529 BRANDIES CIR
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City | MURFREESBORO
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State | TN
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Zip | 37128-0710
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Country | US
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Telephone | 615-542-6439
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Fax | 747-215-5340
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Provider Business Mailing Address
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Address Line | 5350 CAVENDISH DR
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City | MURFREESBORO
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State | TN
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Zip | 37128-2732
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Country | US
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Telephone | 615-542-6439
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL A JACKSON JR.
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Credential | FNP-BC
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Telephone | 615-797-8573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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