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General NPI Number Information
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NPI Number | 1720111636
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Entity Type | Organization
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Legal Business Name | CENTRO DE SALUD FAMILIAR PLLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1284 W MAIN ST
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City | FRANKLIN
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State | TN
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Zip | 37064-3319
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Country | US
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Telephone | 615-790-1441
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Fax | 615-790-1014
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Provider Business Mailing Address
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Address Line | 1284 W MAIN ST
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City | FRANKLIN
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State | TN
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Zip | 37064-3319
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Country | US
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Telephone | 615-790-1441
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Fax | 615-790-1014
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT ALAN RICHTER
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Credential | M.D.
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Telephone | 615-790-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD39095
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License Number State | TN
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