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General NPI Number Information
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NPI Number | 1619886645
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Entity Type | Organization
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Legal Business Name | AERTERA CLUB, LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 5409 MARYLAND WAY STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-5058
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Country | US
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Telephone | 931-212-5058
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Fax | 615-468-8450
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Provider Business Mailing Address
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Address Line | 188 FRONT ST STE 116-30
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City | FRANKLIN
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State | TN
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Zip | 37064-5078
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Country | US
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Telephone | 931-212-5058
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Fax | 615-468-8450
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Authorized Official
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Title or Position | OWNER/ MEDICAL DIRECTOR
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Name | DR. JERRY LEE HOWARD
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Credential | MD
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Telephone | 931-212-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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