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General NPI Number Information
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NPI Number | 1437563541
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Entity Type | Organization
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Legal Business Name | TENNESSEE WOMENS CARE
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 300 20TH AVE N SUITE 401
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City | NASHVILLE
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State | TN
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Zip | 37203-2131
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Country | US
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Telephone | 615-620-5535
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Fax | 615-320-4303
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Provider Business Mailing Address
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Address Line | 300 20TH AVE N SUITE 401
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City | NASHVILLE
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State | TN
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Zip | 37203-2131
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Country | US
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Telephone | 615-620-5535
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Fax | 615-320-4303
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PAT WHITWORTH
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Credential | M.D.
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Telephone | 615-620-5535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT0000002777T
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License Number State | TN
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