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General NPI Number Information
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NPI Number | 1427831098
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Entity Type | Organization
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Legal Business Name | NASHWELL, LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1416 WILLOWBROOKE CIR
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City | FRANKLIN
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State | TN
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Zip | 37069-7199
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Country | US
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Telephone | 615-861-9466
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Fax | 615-309-0756
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Provider Business Mailing Address
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Address Line | PO BOX 34428
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City | BELFAST
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State | ME
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Zip | 04915-0622
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Country | US
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Telephone | 615-861-9466
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Fax | 615-309-0756
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Authorized Official
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Title or Position | OWNER
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Name | KYLE KAKAC
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Credential | MD
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Telephone | 615-861-9466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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