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General NPI Number Information
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NPI Number | 1831482801
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL CENTER, PLLC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 6716 NOLENSVILLE PIKE SUITE 240
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City | BRENTWOOD
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State | TN
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Zip | 37027-8864
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Country | US
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Telephone | 615-283-3524
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Fax | 615-283-3950
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Provider Business Mailing Address
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Address Line | 6716 NOLENSVILLE PIKE SUITE 240
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City | BRENTWOOD
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State | TN
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Zip | 37027-8864
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Country | US
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Telephone | 615-283-3524
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Fax | 615-283-3950
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Authorized Official
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Title or Position | MD
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Name | ADEJOKE FOLUKE AINA-BABALOLA
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Credential | M.D.
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Telephone | 615-283-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 34521
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License Number State | TN
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