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General NPI Number Information
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NPI Number | 1295378420
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Entity Type | Organization
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Legal Business Name | CRYO AND CONTOUR PLLC
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 7180 NOLENSVILLE RD STE 2E
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2998
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Country | US
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Telephone | 615-819-2201
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Fax | 615-526-6494
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Provider Business Mailing Address
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Address Line | 7180 NOLENSVILLE RD STE 2E
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2998
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Country | US
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Telephone | 165-819-2201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORINA POE
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Credential | MD
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Telephone | 414-581-8613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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