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General NPI Number Information
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NPI Number | 1518699461
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Entity Type | Organization
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Legal Business Name | MUSIC CITY FOOT AND WOUND CARE PLLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 2201 MURPHY AVE STE 215
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City | NASHVILLE
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State | TN
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Zip | 37203-1803
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Country | US
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Telephone | 615-712-8073
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 MURPHY AVE STE 215
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City | NASHVILLE
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State | TN
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Zip | 37203-1803
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Country | US
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Telephone | 615-712-8073
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YERUSALEM LANIER
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Credential |
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Telephone | 765-274-3845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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