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General NPI Number Information
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NPI Number | 1730458654
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Entity Type | Organization
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Legal Business Name | MIDDLE TENNESSEE RESOURCE CENTER
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 275 STEWARTS FERRY PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3325
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Country | US
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Telephone | 615-231-5329
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Fax | 615-884-4405
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Provider Business Mailing Address
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Address Line | 275 STEWARTS FERRY PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3325
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Country | US
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Telephone | 615-231-5329
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Fax | 615-884-4405
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Authorized Official
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Title or Position | DIRECTOR
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Name | RICHARD MICHAEL PRESLER
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Credential |
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Telephone | 615-231-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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