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General NPI Number Information
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NPI Number | 1578535936
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Entity Type | Organization
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Legal Business Name | DOCTORS OFFICE LLC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 1430 BADDOUR PARKWAY SUITE A
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City | LEBANON
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State | TN
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Zip | 37087-2514
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Country | US
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Telephone | 615-453-3645
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Fax | 615-453-2675
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Provider Business Mailing Address
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Address Line | 1430 BADDOUR PARKWAY SUITE A
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City | LEBANON
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State | TN
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Zip | 37087-2514
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Country | US
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Telephone | 615-453-3645
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Fax | 615-453-2675
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SHEENA H. SLOAN
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Credential |
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Telephone | 615-443-0436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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