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General NPI Number Information
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NPI Number | 1437422219
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Entity Type | Organization
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Legal Business Name | NATURAL HEALING AND REJUVENATION TREATMENTS
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 130 IMPERIAL BLVD
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3440
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Country | US
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Telephone | 615-265-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 130 IMPERIAL BLVD
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3440
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Country | US
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Telephone | 615-265-8299
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Fax |
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Authorized Official
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Title or Position | PARALEGAL
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Name | BETH GORRELL
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Credential |
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Telephone | 615-265-8299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 45045
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License Number State | TN
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