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General NPI Number Information
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NPI Number | 1639977911
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Entity Type | Organization
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Legal Business Name | UHS PRIMARY CARE LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2681 ANDERSONVILLE HWY STE 102
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City | CLINTON
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State | TN
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Zip | 37716-6706
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Country | US
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Telephone | 865-494-5960
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Fax | 865-494-5964
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Provider Business Mailing Address
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Address Line | PO BOX 415000-MSC8562
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City | NASHVILLE
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State | TN
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Zip | 37241-8562
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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 | VICE PRESIDENT
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Name | BETH MAYNARD
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Credential |
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Telephone | 865-585-8986
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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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