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General NPI Number Information
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NPI Number | 1487671491
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL SUPPLY OF NASHVILLE, INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 217 BLANTON AVE
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City | NASHVILLE
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State | TN
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Zip | 37210-4703
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Country | US
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Telephone | 615-255-4665
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Fax | 615-259-9556
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Provider Business Mailing Address
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Address Line | 217 BLANTON AVE
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City | NASHVILLE
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State | TN
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Zip | 37210-4703
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Country | US
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Telephone | 615-255-4665
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Fax | 615-259-9556
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. EMILY WHITCOMB
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Credential |
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Telephone | 615-255-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0000000481
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License Number State | TN
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