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General NPI Number Information
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NPI Number | 1548556350
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Entity Type | Organization
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Legal Business Name | FOCUS MEDICAL CLINIC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 213 W MAPLEWOOD LN SUITE 400
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City | NASHVILLE
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State | TN
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Zip | 37207-2986
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Country | US
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Telephone | 615-262-6888
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Fax | 615-262-6828
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Provider Business Mailing Address
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Address Line | 213 W MAPLEWOOD LN SUITE 400
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City | NASHVILLE
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State | TN
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Zip | 37207-2986
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Country | US
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Telephone | 615-262-6888
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Fax | 615-262-6828
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAMELA GAIL MURRAY
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Credential | LCSW
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Telephone | 615-262-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0000
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License Number State | TN
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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 | 3163
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License Number State | TN
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