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General NPI Number Information
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NPI Number | 1720932957
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Entity Type | Organization
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Legal Business Name | GARLINGTON HALLER VENTURES, LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1009 N CASTLE HEIGHTS AVE
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City | LEBANON
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State | TN
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Zip | 37087-5627
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Country | US
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Telephone | 228-324-1261
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 N CASTLE HEIGHTS AVE
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City | LEBANON
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State | TN
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Zip | 37087-5627
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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 | OWNER/CEO
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Name | TIM HALLER
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Credential |
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Telephone | 228-324-1261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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