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General NPI Number Information
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NPI Number | 1023251923
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Entity Type | Organization
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Legal Business Name | CLAIBORNE COUNTY HOSPITAL CLAIBORNE COUNTY AMBULANCE
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 1850 OLD KNOXVILLE RD
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City | TAZEWELL
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State | TN
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Zip | 37879-3625
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Country | US
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Telephone | 423-626-4211
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Fax | 423-626-9926
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Provider Business Mailing Address
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Address Line | 1850 OLD KNOXVILLE RD
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City | TAZEWELL
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State | TN
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Zip | 37879-3625
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Country | US
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Telephone | 423-626-4211
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Fax | 423-626-9926
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Authorized Official
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Title or Position | CEO
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Name | MR. TIM S BROWN
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Credential |
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Telephone | 423-626-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 14
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License Number State | TN
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