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General NPI Number Information
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NPI Number | 1366644361
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Entity Type | Organization
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Legal Business Name | CROSSROADS URGENT CARE PLLC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 2445 MEMORIAL BLVD
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City | MURFREESBORO
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State | TN
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Zip | 37129-5155
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Country | US
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Telephone | 615-864-8713
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Fax | 615-301-6550
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Provider Business Mailing Address
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Address Line | 30 BURTON HILLS BLVD SUITE 175
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City | NASHVILLE
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State | TN
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Zip | 37215-6140
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Country | US
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Telephone | 615-988-2009
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Fax | 615-250-9773
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. JOHN REEL
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Credential |
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Telephone | 615-864-8709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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