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General NPI Number Information
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NPI Number | 1528545860
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Entity Type | Organization
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Legal Business Name | CENTRALCOMP SERVICES LLC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 1113 MURFREESBORO RD # 106-324
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City | FRANKLIN
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State | TN
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Zip | 37064-1306
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Country | US
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Telephone | 877-875-3064
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Fax | 877-875-3142
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Provider Business Mailing Address
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Address Line | 1113 MURFREESBORO RD # 106-324
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City | FRANKLIN
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State | TN
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Zip | 37064-1306
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Country | US
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Telephone | 877-875-3064
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Fax | 877-875-3142
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Authorized Official
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Title or Position | PRESIDENT
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Name | JON TSOURAKIS
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Credential |
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Telephone | 877-875-3064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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