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Michael Born

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NPI Number Detailed Information

Provider Information:

Name: Michael Born
Gender: M
Provider License Number If Given: 43090

NPI Information:

NPI: 1811996317
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 8/9/2010

Provider Business Mailing Address:

Address: 110 29TH AVE N STE 202
Nashville, TN 37203
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 110 29TH AVE N STE 202
Nashville, TN 37203
Phone Number: 6153274304
Fax Number:

Provider Taxonomy:

Primary: 367500000X
Secondary (if any):
State: TN

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