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General NPI Number Information
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NPI Number | 1679493639
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Entity Type | Organization
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Legal Business Name | PERKINS-JANICEK WELLNESS GROUP PLLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 327 CALDWELL DR STE 500
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-3410
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Country | US
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Telephone | 615-239-1404
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Fax | 615-900-2716
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Provider Business Mailing Address
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Address Line | 120 TWO MILE PIKE
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1832
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Country | US
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Telephone | 615-239-1404
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Fax | 615-900-2716
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Authorized Official
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Title or Position | CO-OWNER/APRN
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Name | ANGELA JANICEK
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Credential | APRN
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Telephone | 615-239-1404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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