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General NPI Number Information
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NPI Number | 1962866830
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Entity Type | Organization
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Legal Business Name | TOTAL FAMILY CARE AND WALK-IN CLINIC, LLC
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 452 N THOMPSON LN SUITE E
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City | MURFREESBORO
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State | TN
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Zip | 37129-4310
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Country | US
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Telephone | 615-900-3301
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Fax | 615-962-9328
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Provider Business Mailing Address
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Address Line | 452 N THOMPSON LN SUITE E
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City | MURFREESBORO
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State | TN
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Zip | 37129-4310
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Country | US
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Telephone | 615-900-3301
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Fax | 615-962-9328
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Authorized Official
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Title or Position | PRINCIPAL OFFICER
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Name | MR. SHERWAN AHMAD
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Credential | D.O.
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Telephone | 615-900-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2413
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License Number State | TN
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