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General NPI Number Information
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NPI Number | 1962905513
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Entity Type | Organization
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Legal Business Name | CONTESSA HEALTH OF TENNESSEE, LLC
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 49 MUSIC SQ W STE 401
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City | NASHVILLE
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State | TN
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Zip | 37203-3287
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Country | US
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Telephone | 615-635-0298
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Fax |
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Provider Business Mailing Address
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Address Line | 49 MUSIC SQ W STE 401
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City | NASHVILLE
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State | TN
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Zip | 37203-3287
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Country | US
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Telephone | 615-635-0298
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Fax |
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Authorized Official
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Title or Position | SVP MANAGED CARE
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Name | ELISA HARRIS
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Credential |
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Telephone | 615-635-0294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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