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General NPI Number Information
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NPI Number | 1053449660
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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 | 03/02/2007
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 20 RACHEL DRIVE
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City | NASHVILLE
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State | TN
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Zip | 37214-3609
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Country | US
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Telephone | 615-467-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP FINANCE-REVENUE AND REIMBURSEMEN
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Name | ANGELA L SIMMONS
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Credential | CPA
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Telephone | 615-936-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000146
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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