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General NPI Number Information
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NPI Number | 1326085747
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Entity Type | Organization
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Legal Business Name | METROPOLITAN INTERDENOMINATIONAL CHURCH
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 1223 9TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37208-2552
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Country | US
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Telephone | 615-277-0615
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Fax | 615-321-9793
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Provider Business Mailing Address
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Address Line | PO BOX 280779
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City | NASHVILLE
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State | TN
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Zip | 37228-0779
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Country | US
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Telephone | 615-321-9791
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Fax | 615-321-9793
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | TERRY TERRELL
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Credential |
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Telephone | 615-321-9791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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