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General NPI Number Information
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NPI Number | 1285023259
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Entity Type | Organization
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Legal Business Name | VANDERBILT ORTHOPAEDICS AND REHABILITATION COOL SPRINGS
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 324 COOL SPRINGS BLVD
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City | FRANKLIN
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State | TN
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Zip | 37067-1631
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Country | US
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Telephone | 615-790-4280
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 ELLISTON PL APT 514
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City | NASHVILLE
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State | TN
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Zip | 37203-5408
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Country | US
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Telephone | 630-779-6067
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Fax |
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Authorized Official
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Title or Position | ATHLETIC TRAINER
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Name | SCOTT STEPHEN COLLSEN
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Credential | MS, ATC
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Telephone | 615-927-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0000001853
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License Number State | TN
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