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General NPI Number Information
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NPI Number | 1922279926
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Entity Type | Organization
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Legal Business Name | NHC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 815 S WALNUT AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-5956
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Country | US
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Telephone | 931-646-7216
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 BUCKINGHAM PL
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City | COOKEVILLE
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State | TN
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Zip | 38501-0730
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Country | US
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Telephone | 931-528-0250
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST ASSISTANT
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Name | MRS. STEPHANIE DAWN ESTES
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Credential |
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Telephone | 931-528-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 898
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License Number State | TN
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