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NPI 1275634818

NPI 1275634818 : UNIVERSITY COMMUNITY HEALTH SERVICES, INC : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1275634818
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY COMMUNITY HEALTH SERVICES, INC 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    11/06/2024
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Provider Practice Location Address
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    Address Line         |    601 BENTON AVE 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37204-2303
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    Country              |    US
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    Telephone            |    615-292-9770
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    Fax                  |    615-385-1842
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Provider Business Mailing Address
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    Address Line         |    601 BENTON AVE 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37204-2303
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    Country              |    US
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    Telephone            |    615-292-9770
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    Fax                  |    615-385-1842
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Authorized Official
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    Title or Position    |    CREDENTIALING COORDINATOR
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    Name                 |     ASHANTI  WEAVER 
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    Credential           |    
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    Telephone            |    615-649-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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