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General NPI Number Information
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NPI Number | 1770024689
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Entity Type | Organization
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Legal Business Name | TENNESSEE COMMISSION ON AGING AND DISABILITY
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 502 DEADERICK ST ANDREW JACKSON STATE OFFICE BUILDING, 9TH FLOOR
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City | NASHVILLE
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State | TN
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Zip | 37243-0200
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Country | US
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Telephone | 615-741-2056
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Fax | 615-741-3309
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Provider Business Mailing Address
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Address Line | 502 DEADERICK ST ANDREW JACKSON STATE OFFICE BUILDING, 9TH FLOOR
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City | NASHVILLE
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State | TN
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Zip | 37243-0200
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Country | US
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Telephone | 615-741-2056
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Fax | 615-741-3309
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JIM SHULMAN
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Credential |
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Telephone | 615-741-2056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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