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General NPI Number Information
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NPI Number | 1255992418
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Entity Type | Organization
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Legal Business Name | TENNESSEE BRACE AND MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 12819 HIGHWAY 231 431 N STE B
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City | HAZEL GREEN
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State | AL
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Zip | 35750-8629
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Country | US
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Telephone | 256-693-7590
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Fax | 256-693-7586
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-0249
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Country | US
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Telephone | 931-438-2777
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Fax | 931-438-2778
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHRISTY JO BROWN
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Credential |
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Telephone | 931-438-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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