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General NPI Number Information
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NPI Number | 1336413889
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Entity Type | Organization
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Legal Business Name | NASHVILLE NEUROLOGICAL CARE CLINIC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 2200 21ST AVE S SUITE 306
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City | NASHVILLE
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State | TN
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Zip | 37212-4942
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Country | US
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Telephone | 615-678-4171
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Fax | 615-678-4172
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Provider Business Mailing Address
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Address Line | 2200 21ST AVE S SUITE 306
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City | NASHVILLE
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State | TN
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Zip | 37212-4942
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Country | US
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Telephone | 615-678-4171
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Fax | 615-678-4172
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. PETER BATARSEH
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Credential |
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Telephone | 615-678-4171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD0000045976
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License Number State | TN
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