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General NPI Number Information
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NPI Number | 1730906710
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Entity Type | Organization
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Legal Business Name | ELDERBERRY HEALTH PLLC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 106 DUKE STREET
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City | ASHLAND CITY
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State | TN
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Zip | 37015
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Country | US
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Telephone | 423-426-4188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23736
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City | NASHVILLE
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State | TN
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Zip | 37202-3736
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Country | US
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Telephone | 629-289-3136
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Fax | 423-569-4909
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PETER MICHAEL LITCHFIELD
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Credential |
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Telephone | 629-289-3136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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