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General NPI Number Information
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NPI Number | 1538042437
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SOLUTIONS, PLLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5108 PLANER DR
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City | MILAN
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State | TN
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Zip | 38358-1526
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Country | US
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Telephone | 731-487-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 PLANER DR
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City | MILAN
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State | TN
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Zip | 38358-1526
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHAEL BLAINE POTTS
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Credential | PT, DPT
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Telephone | 731-487-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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