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General NPI Number Information
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NPI Number | 1689583601
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Entity Type | Organization
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Legal Business Name | RESURGEONCE, LLC BDA COMPASS HUMAN PERFORMANCE
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 4525 HARDING PIKE STE 104
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City | NASHVILLE
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State | TN
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Zip | 37205-6100
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Country | US
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Telephone | 615-307-7246
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Fax | 615-526-6476
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Provider Business Mailing Address
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Address Line | 188 FRONT ST STE 116-30
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City | FRANKLIN
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State | TN
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Zip | 37064-5078
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Country | US
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Telephone | 931-212-5058
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Fax | 615-526-6476
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Authorized Official
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Title or Position | OWNER/ MEDICAL DIRECTOR
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Name | DR. JERRY LEE HOWARD II
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Credential | MD
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Telephone | 931-212-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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