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General NPI Number Information
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NPI Number | 1275084832
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Entity Type | Organization
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Legal Business Name | MICHAEL H MEADORS
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 2010 CHURCH ST STE 301
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City | NASHVILLE
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State | TN
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Zip | 37203-2012
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Country | US
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Telephone | 615-329-0616
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Fax | 615-340-4665
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Provider Business Mailing Address
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Address Line | 408 FLOWERWOOD CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-2900
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Country | US
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Telephone | 615-750-3987
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Fax | 615-340-4665
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DARLEENE BEARD
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Credential |
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Telephone | 615-329-0616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TN21809
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License Number State | TN
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