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General NPI Number Information
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NPI Number | 1851818066
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Entity Type | Organization
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Legal Business Name | 4UMD MANAGEMENT SERVICES, INC.
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 555 CHURCH ST E
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City | BRENTWOOD
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State | TN
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Zip | 37027-4894
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Country | US
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Telephone | 615-376-4863
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Fax | 615-807-4990
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Provider Business Mailing Address
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Address Line | 555 CHURCH ST E
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City | BRENTWOOD
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State | TN
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Zip | 37027-4894
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Country | US
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Telephone | 615-376-4863
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Fax | 615-807-4990
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MRS. CATHIE LEIGHANN WELCH
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Credential | COO
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Telephone | 615-972-5940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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