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General NPI Number Information
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NPI Number | 1245653898
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Entity Type | Organization
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Legal Business Name | PEACH & CRANE, PLLC
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 1806 WILLIAMSON CT SUITE 218
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City | BRENTWOOD
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State | TN
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Zip | 37027-7974
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Country | US
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Telephone | 615-490-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 5543 EDMONSON PIKE #94
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City | NASHVILLE
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State | TN
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Zip | 37211-5808
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Country | US
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Telephone | 615-649-4389
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KIREM MARNETT
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Credential |
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Telephone | 415-531-6291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 239
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License Number State | TN
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