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General NPI Number Information
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NPI Number | 1770868895
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Entity Type | Organization
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Legal Business Name | FOCUS MEDICAL CLINIC, PLLC
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 213W MAPLEWOOD LANE SUITE 400
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City | NASHVILLE
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State | TN
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Zip | 37207
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Country | US
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Telephone | 615-262-6888
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Fax | 615-262-6828
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Provider Business Mailing Address
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Address Line | 213W MAPLEWOOD LANE
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City | NASHVILLE
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State | TN
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Zip | 37207
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Country | US
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Telephone | 615-262-6888
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Fax | 615-262-6828
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Authorized Official
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Title or Position | CEO
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Name | MS. PAMELA GAIL MURRAY
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Credential | LCSW
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Telephone | 615-262-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3163
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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