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General NPI Number Information
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NPI Number | 1558708727
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Entity Type | Organization
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Legal Business Name | MIDTOWN HEALTH, PLLC
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 1097 WESTON DR STE 3
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3493
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Country | US
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Telephone | 615-288-3267
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Fax | 615-288-3269
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Provider Business Mailing Address
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Address Line | 1097 WESTON DR STE 3
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3493
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Country | US
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Telephone | 615-288-3267
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Fax | 615-288-3269
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Authorized Official
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Title or Position | OWNER
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Name | CHAD JAMES
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Credential | FNP
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Telephone | 615-288-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11173
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License Number State | TN
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