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General NPI Number Information
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NPI Number | 1689994154
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Entity Type | Organization
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Legal Business Name | CUMBERLAND BRAIN AND SPINE, PLLC
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 1641 SCOTTSVILLE RD
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3244
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Country | US
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Telephone | 270-781-1772
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Fax | 270-781-2212
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Provider Business Mailing Address
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Address Line | 5653 FRIST BLVD STE 731
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City | HERMITAGE
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State | TN
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Zip | 37076-2066
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Country | US
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Telephone | 270-781-1772
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Fax | 270-781-2212
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER TALEGHANI
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Credential | MD
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Telephone | 615-884-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 37636
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 37599
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License Number State | KY
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