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General NPI Number Information
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NPI Number | 1215232798
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Entity Type | Organization
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Legal Business Name | HEALTH VENIR, LLC
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 4053 NOLENSVILLE RD
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City | NASHVILLE
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State | TN
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Zip | 37211-4547
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Country | US
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Telephone | 615-627-1282
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Fax | 615-627-1284
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Provider Business Mailing Address
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Address Line | PO BOX 110641
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City | NASHVILLE
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State | TN
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Zip | 37222-0641
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Country | US
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Telephone | 615-837-5999
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Fax | 615-627-1284
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LATANDRA G. COLLINS
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Credential |
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Telephone | 615-837-5999
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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 | 37790
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License Number State | TN
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