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General NPI Number Information
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NPI Number | 1710209077
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Entity Type | Organization
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Legal Business Name | LS OF NASHVILLE,PC
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 105 WESTWOOD PL SUITE 350
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City | BRENTWOOD
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State | TN
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Zip | 37027-5038
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Country | US
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Telephone | 615-371-3000
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Fax | 615-371-3089
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Provider Business Mailing Address
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Address Line | 6363 POPLAR AVE SUITE 340
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City | MEMPHIS
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State | TN
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Zip | 38119-4831
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Country | US
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Telephone | 901-259-1962
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Fax | 901-259-1959
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Authorized Official
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Title or Position | MANAGER OF HR AND ADMIN.
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Name | LAURA M. ABSTON
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Credential |
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Telephone | 901-259-1962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1457436321
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License Number State | TN
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