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General NPI Number Information
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NPI Number | 1225083819
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Entity Type | Organization
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Legal Business Name | THE HEALTH GROUP OF MCMINNVILLE, P.C.
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 155 HEALTH WAY SUITE 1
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City | MC MINNVILLE
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State | TN
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Zip | 37110-2658
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Country | US
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Telephone | 931-473-5394
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Fax | 931-473-6636
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Provider Business Mailing Address
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Address Line | 155 HEALTH WAY SUITE 1
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City | MC MINNVILLE
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State | TN
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Zip | 37110-2658
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Country | US
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Telephone | 931-473-5394
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Fax | 931-473-6636
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATSY DIANE BLACK
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Credential |
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Telephone | 931-473-5394
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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 | MD18822
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000005830
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO0000001373
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License Number State | TN
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