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General NPI Number Information
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NPI Number | 1578719845
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Entity Type | Organization
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Legal Business Name | MUSIC VALLEY MEDICAL CENTER, PLLC
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 2416 MUSIC VALLEY DR SUITE 118
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City | NASHVILLE
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State | TN
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Zip | 37214-1011
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Country | US
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Telephone | 615-777-9336
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Fax | 615-552-0152
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Provider Business Mailing Address
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Address Line | 2416 MUSIC VALLEY DR SUITE 118
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City | NASHVILLE
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State | TN
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Zip | 37214-1011
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Country | US
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Telephone | 615-777-9336
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Fax | 615-552-0152
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. JASON L BOYLAN
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Credential | FNP-C
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Telephone | 615-777-9336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 8392
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License Number State | TN
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