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General NPI Number Information
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NPI Number | 1922443985
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTHCARE CO OP LLC
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Dates
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Enumeration Date | 05/05/2013
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Last Update Date | 05/05/2013
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Provider Practice Location Address
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Address Line | 1915 1/2 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2203
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Country | US
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Telephone | 615-693-9149
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Fax | 888-872-5109
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Provider Business Mailing Address
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Address Line | 1915 1/2 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2203
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Country | US
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Telephone | 615-693-9149
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Fax | 888-872-5109
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM D. MANLEY
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Credential | F-NP
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Telephone | 615-693-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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