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General NPI Number Information
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NPI Number | 1871271692
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Entity Type | Individual
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Provider Name | ELAINA GRACE KAMIENSKI DC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 324 LONG HOLLOW PIKE STE 205
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1853
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Country | US
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Telephone | 636-614-6493
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Fax |
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Provider Business Mailing Address
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Address Line | 211 STOCKYARD ST APT 468
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City | NASHVILLE
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State | TN
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Zip | 37201-1154
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Country | US
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Telephone | 636-614-6493
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3726
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License Number State | TN
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