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General NPI Number Information
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NPI Number | 1598528317
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Entity Type | Organization
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Legal Business Name | NEW ERA MEDICAL LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 221 LANE PKWY STE B
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3108
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Country | US
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Telephone | 615-403-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 221 LANE PKWY STE B
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3108
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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 | CO-OWNER
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Name | MR. PHILIP BRIAN COX
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Credential | APRN, MSN, FNP-C
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Telephone | 931-773-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 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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