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General NPI Number Information
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NPI Number | 1962913780
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Entity Type | Organization
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Legal Business Name | NASHVILLE CENTER FOR REHABILITATION AND HEALING LLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 832 WEDGEWOOD AVE
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City | NASHVILLE
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State | TN
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Zip | 37203-5447
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Country | US
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Telephone | 615-806-8800
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Fax | 615-806-8817
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Provider Business Mailing Address
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Address Line | 832 WEDGEWOOD AVE
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City | NASHVILLE
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State | TN
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Zip | 37203-5447
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Country | US
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Telephone | 615-806-8800
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Fax | 615-806-8817
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARK FRIEDMAN
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Credential |
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Telephone | 201-731-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 394
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License Number State | TN
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