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General NPI Number Information
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NPI Number | 1205655289
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Entity Type | Organization
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Legal Business Name | CAREWELL MEDICAL, LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 307 S DEPOT ST STE D2
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City | ROGERSVILLE
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State | TN
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Zip | 37857-3329
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Country | US
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Telephone | 423-528-1454
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Fax | 844-433-0038
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Provider Business Mailing Address
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Address Line | 307 S DEPOT ST STE D2
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City | ROGERSVILLE
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State | TN
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Zip | 37857-3329
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Country | US
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Telephone | 423-528-1454
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Fax | 844-433-0038
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Authorized Official
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Title or Position | OWNER
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Name | CHELSEA BUNDREN
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Credential | FNP
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Telephone | 828-434-8534
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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 |
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License Number State |
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