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General NPI Number Information
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NPI Number | 1922364173
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Entity Type | Organization
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Legal Business Name | MUSIC CITY CHIROPRACTIC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 842 CONFERENCE DR SUITE 1B
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-1929
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Country | US
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Telephone | 615-881-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 109 WYNLANDS CIR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-4321
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Country | US
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Telephone | 615-881-2607
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUSTIN LEE MOSELEY
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Credential | D.C.
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Telephone | 615-881-2607
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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 | 2534
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License Number State | TN
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