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General NPI Number Information
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NPI Number | 1366793838
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Entity Type | Organization
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Legal Business Name | CLINCARE, INC.
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 1718 CHURCH STREET BX 331164
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City | NASHVILLE
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State | TN
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Zip | 37203-7510
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Country | US
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Telephone | 615-562-2439
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Fax | 615-562-1144
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Provider Business Mailing Address
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Address Line | PO BOX 331164
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City | NASHVILLE
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State | TN
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Zip | 37203-7510
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Country | US
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Telephone | 615-562-2439
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Fax | 615-562-1144
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MYRON B TOWNS
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Credential | M.D.
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Telephone | 615-562-2439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 681217
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 681217
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License Number State | TN
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