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General NPI Number Information
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NPI Number | 1891061891
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Entity Type | Organization
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Legal Business Name | DYSLEXIA CENTERS OF TENNESSEE, INC
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Dates
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Enumeration Date | 03/24/2012
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Last Update Date | 03/24/2012
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Provider Practice Location Address
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Address Line | 7110 TOWN CENTER WAY SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-1608
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Country | US
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Telephone | 615-221-3941
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Fax | 615-221-9786
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Provider Business Mailing Address
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Address Line | 7110 TOWN CENTER WAY SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-1608
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Country | US
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Telephone | 615-221-3941
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Fax | 615-221-9786
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN H MATLOCK
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Credential |
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Telephone | 615-221-3941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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