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General NPI Number Information
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NPI Number | 1972037372
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Entity Type | Organization
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Legal Business Name | CARENATION, LLC
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 304 W CHURCH ST
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City | LEWISBURG
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State | TN
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Zip | 37091-2730
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Country | US
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Telephone | 615-216-4876
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Fax |
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Provider Business Mailing Address
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Address Line | 5655 GRANNY WHITE PIKE
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City | BRENTWOOD
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State | TN
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Zip | 37027-4101
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Country | US
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Telephone | 615-216-4876
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MICHAEL GAW
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Credential |
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Telephone | 615-739-3371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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