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General NPI Number Information
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NPI Number | 1770609273
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Entity Type | Organization
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Legal Business Name | GREEN HILLS CHILDREN'S CLINIC PLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2000 RICHARD JONES RD STE. 270
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City | NASHVILLE
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State | TN
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Zip | 37215-2885
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Country | US
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Telephone | 615-297-9541
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Fax | 615-297-8739
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Provider Business Mailing Address
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Address Line | 2000 RICHARD JONES RD STE. 270
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City | NASHVILLE
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State | TN
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Zip | 37215-2885
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Country | US
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Telephone | 615-297-9541
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Fax | 615-297-8739
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Authorized Official
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Title or Position | PARTNER
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Name | MR. ROBERT LILLARD JR.
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Credential | M.D.
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Telephone | 615-297-9541
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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 | 32037
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License Number State | TN
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