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General NPI Number Information
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NPI Number | 1962956078
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Entity Type | Organization
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Legal Business Name | RESOLVE DIAGNOSTICS LLC
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 357 RIVERSIDE DR SUITE 214
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City | FRANKLIN
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State | TN
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Zip | 37064-8963
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Country | US
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Telephone | 615-417-2769
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Fax | 615-628-8583
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Provider Business Mailing Address
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Address Line | 357 RIVERSIDE DR SUITE 214
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City | FRANKLIN
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State | TN
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Zip | 37064-8963
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Country | US
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Telephone | 615-417-2769
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Fax | 615-628-8583
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PAUL WESLEY WARRINGTON JR.
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Credential |
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Telephone | 615-417-2769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 541690
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License Number State | TN
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