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NPI 1952921041

NPI 1952921041 : TN INTEGRATIVE HEALTHCARE PLC : BRENTWOOD, TN

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General NPI Number Information
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    NPI Number           |    1952921041
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    Entity Type          |    Organization 
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    Legal Business Name  |    TN INTEGRATIVE HEALTHCARE PLC 
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Dates
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    Enumeration Date     |    04/20/2020
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    Last Update Date     |    11/09/2021
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Provider Practice Location Address
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    Address Line         |    5055 MARYLAND WAY STE 100 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-7665
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    Country              |    US
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    Telephone            |    615-229-7209
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1856 LONGMOORE LN 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-1436
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    Country              |    US
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    Telephone            |    
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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. HEMAL  MEHTA 
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    Credential           |    MD
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    Telephone            |    615-336-6715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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