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General NPI Number Information
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NPI Number | 1780078444
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Entity Type | Organization
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Legal Business Name | CONTINUUM HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 702 GROVE ST SUITE 102
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City | LOUDON
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State | TN
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Zip | 37774-1481
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Country | US
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Telephone | 865-242-4857
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Fax |
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Provider Business Mailing Address
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Address Line | 701 BLOCKHOUSE VALLEY RD
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City | CLINTON
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State | TN
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Zip | 37716-4904
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Country | US
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Telephone | 865-242-4857
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WILLIAM DOUGLAS HOWARD
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Credential |
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Telephone | 865-242-4857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15730
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License Number State | TN
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