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General NPI Number Information
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NPI Number | 1457323164
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Entity Type | Organization
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Legal Business Name | MINUTECLINIC DIAGNOSTIC OF TENNESSEE PC
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 3715 HILLSBORO RD
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City | NASHVILLE
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State | TN
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Zip | 37215-2117
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Country | US
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Telephone | 866-389-2727
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Fax | 401-406-3539
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Provider Business Mailing Address
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Address Line | P.O BOX 772-MC2295 MINUTECLINIC CREDENTIALING
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City | WOONSOCKET
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State | RI
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Zip | 02895
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Country | US
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Telephone | 401-770-6574
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Fax | 401-406-3539
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBORAH JEAN PINCINCE
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Credential |
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Telephone | 401-770-3813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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