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General NPI Number Information
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NPI Number | 1750524138
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Entity Type | Organization
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Legal Business Name | MICHAEL H. MEADORS
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 2011 CHURCH ST STE 601
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City | NASHVILLE
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State | TN
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Zip | 37203-2070
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Country | US
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Telephone | 615-329-0616
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Fax | 615-340-4665
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Provider Business Mailing Address
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Address Line | 2011 CHURCH ST STE 601
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City | NASHVILLE
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State | TN
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Zip | 37203-2070
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Country | US
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Telephone | 615-329-0616
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Fax | 615-340-4665
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. DARLEENE BEARD
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Credential |
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Telephone | 615-329-0616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 20262
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License Number State | TN
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