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General NPI Number Information
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NPI Number | 1013553155
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Entity Type | Organization
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Legal Business Name | VANDERBILT UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 1211 MEDICAL CENTER DR # 2906
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City | NASHVILLE
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State | TN
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Zip | 37232-0004
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Country | US
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Telephone | 866-322-8664
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Fax |
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Provider Business Mailing Address
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Address Line | 718 MELROSE AVE
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City | NASHVILLE
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State | TN
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Zip | 37211-2151
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Country | US
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Telephone | 615-936-1040
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | JIMMY HAYMAN
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Credential |
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Telephone | 615-875-5031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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