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General NPI Number Information
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NPI Number | 1013254655
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Entity Type | Organization
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Legal Business Name | UNIVITA OF TENNESSEE, INC.
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 783 FAYETTEVILLE HWY
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City | LYNCHBURG
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State | TN
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Zip | 37352-7008
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Country | US
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Telephone | 615-650-8000
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Fax | 615-724-0242
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Provider Business Mailing Address
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Address Line | 947 WOODLAND ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3753
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Country | US
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Telephone | 615-650-8000
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Fax | 615-724-0242
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | MR. DOUGLAS D BYRD
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Credential | ESQ
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Telephone | 754-777-5321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 510
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License Number State | TN
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