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General NPI Number Information
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NPI Number | 1245895069
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Entity Type | Organization
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Legal Business Name | ELEMENTS TN, LLC
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 230 GREAT CIRCLE RD STE 202
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City | NASHVILLE
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State | TN
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Zip | 37228-1710
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Country | US
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Telephone | 615-226-2840
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Fax | 615-226-2839
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Provider Business Mailing Address
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Address Line | PO BOX 60834
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City | NASHVILLE
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State | TN
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Zip | 37206-0834
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA TALBERT
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Credential | OTR/L
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Telephone | 615-226-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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