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General NPI Number Information
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NPI Number | 1053377812
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Entity Type | Organization
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Legal Business Name | CUMBERLAND MEDICAL CENTER, INC
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 133 HAYES STREET
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City | CROSSVILLE
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State | TN
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Zip | 38555
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Country | US
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Telephone | 931-456-9434
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Fax | 931-456-5061
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Provider Business Mailing Address
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Address Line | 421 S MAIN ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-5048
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Country | US
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Telephone | 931-456-9434
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Fax | 931-456-5061
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ANGEL SUZANNE TURNER
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Credential |
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Telephone | 931-456-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN8232
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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