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NPI 1558838334

NPI 1558838334 : NASHVILLE INJURY SOLUTIONS LLC : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1558838334
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    Entity Type          |    Organization 
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    Legal Business Name  |    NASHVILLE INJURY SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    10/30/2018
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    Last Update Date     |    10/30/2018
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Provider Practice Location Address
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    Address Line         |    1410 DONELSON PIKE STE B1 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37217-2987
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    Country              |    US
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    Telephone            |    615-307-7111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1410 DONELSON PIKE 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37217-2933
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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    |    OFFICE MANAGER
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    Name                 |     TONYA  HALLAVANT 
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    Credential           |    
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    Telephone            |    615-307-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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