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General NPI Number Information
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NPI Number | 1780879965
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH SERVICES
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 983 NISSAN DR
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City | SMYRNA
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State | TN
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Zip | 37167-4405
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Country | US
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Telephone | 615-459-1944
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Fax |
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Provider Business Mailing Address
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Address Line | 983 NISSAN DR
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City | SMYRNA
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State | TN
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Zip | 37167-4405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MRS. CONNIE CROSSLIN
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Credential |
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Telephone | 615-459-1944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 130375
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License Number State | TN
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