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NPI 1629028006

NPI 1629028006 : OP SERVICES : FRANKLIN, TN

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General NPI Number Information
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    NPI Number           |    1629028006
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    Entity Type          |    Organization 
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    Legal Business Name  |    OP SERVICES 
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Dates
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    Enumeration Date     |    05/10/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2001 MALLORY LANE SUITE 302
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067
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    Country              |    US
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    Telephone            |    615-771-6868
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    Fax                  |    615-771-6864
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Provider Business Mailing Address
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    Address Line         |    PO BOX 682306 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37068-2306
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    Country              |    US
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    Telephone            |    615-771-6868
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    Fax                  |    615-771-6864
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MICHAEL STEVEN OVERFELT 
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    Credential           |    PAC
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    Telephone            |    615-771-6868
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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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