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General NPI Number Information
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NPI Number | 1225682198
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Entity Type | Organization
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Legal Business Name | TENNESSEE CENTER FOR BRAIN HEALTH
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 2900 FELICIA ST STE 103
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City | NASHVILLE
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State | TN
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Zip | 37209-4043
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Country | US
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Telephone | 615-450-6758
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Fax | 908-282-3384
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Provider Business Mailing Address
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Address Line | 9005 FALLSWOOD LN
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City | BRENTWOOD
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State | TN
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Zip | 37027-8679
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Country | US
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Telephone | 615-482-5535
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | DR. SRAVANI VENKATA ANJANA MEHTA
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Credential | MD
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Telephone | 615-482-5535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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