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General NPI Number Information
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NPI Number | 1346582517
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Entity Type | Organization
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Legal Business Name | CARESPOT OF MT. JULIET (S. MT. JULIET ROAD), LLC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 669 S MOUNT JULIET RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-6483
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Country | US
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Telephone | 615-541-4545
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Fax | 615-758-9648
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Provider Business Mailing Address
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Address Line | PO BOX 742588
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City | ATLANTA
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State | GA
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Zip | 30374-2588
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Country | US
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Telephone | 972-745-7500
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Fax | 972-745-4336
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Authorized Official
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Title or Position | AVP REVENUE CYCLE URGENT CARE
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Name | MRS. RHONDA MCKINNEY
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Credential |
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Telephone | 972-906-8162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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