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General NPI Number Information
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NPI Number | 1689325359
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Entity Type | Organization
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Legal Business Name | MINDFUL INFUSIONS OF TENNESSEE PLLC
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 509 NEW HIGHWAY 96 W STE 101
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City | FRANKLIN
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State | TN
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Zip | 37064-2545
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Country | US
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Telephone | 615-472-1017
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Fax | 615-472-8631
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Provider Business Mailing Address
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Address Line | 509 NEW HIGHWAY 96 W STE 101
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City | FRANKLIN
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State | TN
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Zip | 37064-2545
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Country | US
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Telephone | 615-472-1017
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Fax | 615-472-8631
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RACHEL ROME
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Credential | MD
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Telephone | 615-472-1017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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