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General NPI Number Information
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NPI Number | 1447994009
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Entity Type | Organization
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Legal Business Name | LIFE COORDINATED INC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 801 2ND AVE N STE 301
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City | NASHVILLE
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State | TN
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Zip | 37201-1010
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Country | US
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Telephone | 855-209-5451
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2403
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City | BRENTWOOD
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State | TN
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Zip | 37024-2403
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Country | US
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Telephone | 855-209-5451
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MS. NANCY C EVERITT
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Credential | PMP
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Telephone | 855-209-5451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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