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General NPI Number Information
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NPI Number | 1053566323
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Entity Type | Organization
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Legal Business Name | HOSPITALISTS AT HORIZON MEDICAL CENTER LLC
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Dates
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Enumeration Date | 11/30/2008
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 111 HIGHWAY 70 E
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City | DICKSON
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State | TN
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Zip | 37055-2080
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Country | US
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Telephone | 615-740-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 111 HIGHWAY 70 E
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City | DICKSON
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State | TN
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Zip | 37055-2080
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Country | US
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Telephone | 615-740-3426
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Fax |
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Authorized Official
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Title or Position | VP
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Name | JOHN LAVERTY
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Credential |
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Telephone | 615-507-2312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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