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General NPI Number Information
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NPI Number | 1669367322
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Entity Type | Organization
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Legal Business Name | TENNESSEE PRIMARY CARE, LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 768 S WILLOW AVE STE A
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City | COOKEVILLE
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State | TN
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Zip | 38501-3892
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Country | US
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Telephone | 931-559-6900
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Fax | 931-548-6909
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Provider Business Mailing Address
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Address Line | 768 S WILLOW AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-3892
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Country | US
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Telephone | 931-559-6900
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Fax | 931-548-6909
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL DAVID PATTERSON
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Credential |
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Telephone | 931-456-2728
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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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