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General NPI Number Information
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NPI Number | 1740497593
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Entity Type | Organization
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Legal Business Name | THERATECH HOLDINGS
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 BURTON HILLS BLVD SUITE 320
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City | NASHVILLE
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State | TN
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Zip | 37215-6155
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Country | US
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Telephone | 615-665-8220
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Fax | 615-665-8228
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Provider Business Mailing Address
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Address Line | 40 BURTON HILLS BLVD SUITE 320
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City | NASHVILLE
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State | TN
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Zip | 37215-6155
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Country | US
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Telephone | 615-665-8220
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Fax | 615-665-8228
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Authorized Official
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Title or Position | MEMBER
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Name | MR. DAVID G MCCLELLAN
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Credential |
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Telephone | 615-665-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State | WA
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