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General NPI Number Information
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NPI Number | 1265140446
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Entity Type | Organization
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Legal Business Name | PROGRESSIVEHEALTH HEALTHSPOT, LLC
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 9000 GREENBRIER PKWY NW
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City | MADISON
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State | AL
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Zip | 35756-4453
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Country | US
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Telephone | 256-893-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 4015 ASPEN GROVE DR UNIT 4028
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City | FRANKLIN
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State | TN
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Zip | 37067-1627
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Country | US
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Telephone | 615-830-4081
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF EMP MED SOLUTIONS
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Name | KEVIN MCKINLEY RAINBOLT
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Credential | MBA
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Telephone | 615-830-4081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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