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General NPI Number Information
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NPI Number | 1689522476
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Entity Type | Organization
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Legal Business Name | MOTHERS' MILK BANK OF TENNESSEE
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 2909 OLD FORT PKWY STE 105
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City | MURFREESBORO
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State | TN
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Zip | 37128-4364
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Country | US
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Telephone | 615-933-8877
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Fax | 615-285-8238
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Provider Business Mailing Address
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Address Line | 2909 OLD FORT PKWY STE 105
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City | MURFREESBORO
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State | TN
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Zip | 37128-4364
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Country | US
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Telephone | 615-933-8877
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Fax | 615-285-8238
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMY STOKES PAINTER
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Credential |
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Telephone | 615-933-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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