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General NPI Number Information
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NPI Number | 1205403839
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Entity Type | Organization
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Legal Business Name | NASHVILLE PAIN AND WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 310 25TH AVE N STE 203
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City | NASHVILLE
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State | TN
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Zip | 37203-1593
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Country | US
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Telephone | 615-661-7888
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Fax | 615-661-9001
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Provider Business Mailing Address
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Address Line | PO BOX 681508
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City | FRANKLIN
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State | TN
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Zip | 37068-1508
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Country | US
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Telephone | 615-661-7888
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Fax | 615-661-9001
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Authorized Official
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Title or Position | OWNER/DIRECTOR/MD
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Name | MADHU SRINIVASAMURTHY YELAMELI
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Credential | MD
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Telephone | 615-661-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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