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1720125545
STATE OF TENNESSEE
NASHVILLE, TN
NPI
1720125545
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Entity Type
Organization
Authorized Contact
ANNETTE HALEY
Regional Director
615-650-7000
Organization Subpart ?
No
Primary Taxonomy
1223D0001X Dentist Dental Public Health
Enumeration Date
2007-01-31
Last Update Date
2012-08-28
Business Address
STATE OF TENNESSEE
710 HART LN
NASHVILLE, TN 37216-2627
Phone number: 615-650-7000
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Mailing Address
STATE OF TENNESSEE
710 HART LN
NASHVILLE, TN 37216-2627
Phone number: 615-650-7000
Copy
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