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General NPI Number Information
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NPI Number | 1275571606
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Entity Type | Organization
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Legal Business Name | PACE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2515 LIFESTYLE WAY STE 101
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1985
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Country | US
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Telephone | 423-698-8971
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Fax | 423-624-5160
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Provider Business Mailing Address
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Address Line | 820 FESSLERS PKWY STE 315
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City | NASHVILLE
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State | TN
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Zip | 37210-2938
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Country | US
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Telephone | 615-214-3777
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Fax | 423-624-5160
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Authorized Official
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Title or Position | OFFICER
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Name | THEODORE MACDONALD
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Credential |
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Telephone | 615-214-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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