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General NPI Number Information
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NPI Number | 1942005145
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Entity Type | Organization
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Legal Business Name | REGENEREX PHARMA, INC.
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 7400 US HIGHWAY 64
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City | BARTLETT
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State | TN
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Zip | 38133-3904
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Country | US
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Telephone | 901-207-5176
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Fax | 901-201-5125
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Provider Business Mailing Address
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Address Line | 14 MAIN STREET, EAST BUILDING D
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City | GORDONSVILLE
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State | TN
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Zip | 38563-2054
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Country | US
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Telephone | 877-761-7479
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN, CHIEF EXECUTIVE OFFICER
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Name | MR. GREGORY P. PILANT
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Credential |
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Telephone | 615-202-5690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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