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General NPI Number Information
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NPI Number | 1265681985
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Entity Type | Organization
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Legal Business Name | HEALTH CORE ALLIANCE LLC
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 3200 W END AVE STE 500
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City | NASHVILLE
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State | TN
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Zip | 37203-1322
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Country | US
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Telephone | 615-298-9866
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 W END AVE STE 500
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City | NASHVILLE
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State | TN
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Zip | 37203-1322
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Country | US
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Telephone | 615-289-9866
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. NICHOLAS MATTHEW UMONTUEN
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Credential |
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Telephone | 615-397-1752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1000000003277
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License Number State | TN
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