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General NPI Number Information
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NPI Number | 1679485197
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Entity Type | Organization
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Legal Business Name | MEDICAL PHARMA LIFE INC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 100 PHYSICIANS WAY STE 270
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City | LEBANON
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State | TN
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Zip | 37090-8102
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Country | US
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Telephone | 855-831-2002
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Fax | 855-831-2002
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Provider Business Mailing Address
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Address Line | 100 PHYSICIANS WAY STE 270
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City | LEBANON
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State | TN
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Zip | 37090-8102
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Country | US
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Telephone | 855-831-2002
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Fax | 855-831-2002
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RYAN POWELL
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Credential | MD
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Telephone | 855-855-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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