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General NPI Number Information
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NPI Number | 1245393057
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Entity Type | Organization
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Legal Business Name | CENTENNIAL HEART LLC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 2400 PATTERSON ST SUITE 502
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City | NASHVILLE
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State | TN
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Zip | 37203-1562
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Country | US
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Telephone | 615-515-1900
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Fax | 615-515-1993
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4525
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Country | US
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Telephone | 615-372-5426
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Fax | 615-515-1993
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. LOUIS JOSEPH
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Credential |
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Telephone | 615-373-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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