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General NPI Number Information
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NPI Number | 1578701397
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Entity Type | Individual
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Provider Name | GERALDINE PATRICIA BRUNNER LAM PT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 1237 DAVIDSON RD
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City | NASHVILLE
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State | TN
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Zip | 37205-1027
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Country | US
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Telephone | 415-378-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 356 24TH AVE N STE 201
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City | NASHVILLE
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State | TN
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Zip | 37203-1519
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Country | US
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Telephone | 615-329-1537
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Fax | 615-329-9822
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8242
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License Number State | TN
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