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General NPI Number Information
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NPI Number | 1831831353
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Entity Type | Organization
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Legal Business Name | REIMAGINE CARE VIRTUAL CARE CENTER LLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 40 BURTON HILLS BLVD STE 100
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City | NASHVILLE
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State | TN
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Zip | 37215-6291
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Country | US
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Telephone | 615-430-4076
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BURTON HILLS BLVD STE 100
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City | NASHVILLE
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State | TN
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Zip | 37215-6291
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Country | US
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Telephone | 615-430-4076
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. AARON GERBER
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Credential |
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Telephone | 312-543-3532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | NULL
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