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General NPI Number Information
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NPI Number | 1902364300
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Entity Type | Organization
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Legal Business Name | HEALTH WORKS INTEGRATIVE MEDICINE PLLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 1612 WESTGATE CIR
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City | BRENTWOOD
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State | TN
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Zip | 37027-8089
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Country | US
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Telephone | 615-927-4281
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Fax | 615-905-9137
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Provider Business Mailing Address
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Address Line | 605 COBERT LN
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City | FRANKLIN
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State | TN
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Zip | 37064-1496
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Country | US
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Telephone | 615-927-5604
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Fax | 615-905-9137
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Authorized Official
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Title or Position | OWNER
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Name | TONYA LAHATTE
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Credential | FNP-C
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Telephone | 615-927-5604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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