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General NPI Number Information
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NPI Number | 1710798350
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Entity Type | Organization
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Legal Business Name | WAYBRIDGE TN PC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2000 RICHARD JONES RD STE 260
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City | NASHVILLE
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State | TN
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Zip | 37215-2885
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Country | US
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Telephone | 615-732-2150
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Fax | 877-898-3179
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Provider Business Mailing Address
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Address Line | 2000 RICHARD JONES RD STE 260
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City | NASHVILLE
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State | TN
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Zip | 37215-2885
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. BRANSON HORN
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Credential |
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Telephone | 205-415-0858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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