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General NPI Number Information
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NPI Number | 1851200141
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Entity Type | Organization
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Legal Business Name | IS HEALTHCARE LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 420 HICKORY TIMBER CT
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City | ANTIOCH
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State | TN
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Zip | 37013-5426
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Country | US
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Telephone | 615-596-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 420 HICKORY TIMBER CT
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City | ANTIOCH
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State | TN
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Zip | 37013-5426
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Country | US
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Telephone | 615-596-5371
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | IDELLA WOODARD
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Credential | PT.CCMA.CBCS.CDM
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Telephone | 615-596-5371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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