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General NPI Number Information
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NPI Number | 1982210233
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Entity Type | Organization
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Legal Business Name | MY HEALTH, LLC
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 320 S MAIN ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4838
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Country | US
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Telephone | 931-787-1180
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Fax | 470-237-5151
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Provider Business Mailing Address
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Address Line | 320 S MAIN ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4838
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Country | US
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Telephone | 931-787-1180
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KINDALL BERRY
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Credential |
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Telephone | 931-787-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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