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General NPI Number Information
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NPI Number | 1073687448
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Entity Type | Organization
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Legal Business Name | CUMBERLAND RIVER HOSPITAL INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 100 OLD JEFFERSON STREET
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City | CELINA
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State | TN
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Zip | 38551-4040
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Country | US
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Telephone | 931-243-3581
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Fax | 931-243-5219
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Provider Business Mailing Address
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Address Line | 100 OLD JEFFERSON STREET
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City | CELINA
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State | TN
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Zip | 38551-4040
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Country | US
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Telephone | 931-243-3581
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Fax | 931-243-5219
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Authorized Official
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Title or Position | CAO
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Name | PATRICIA LYNNE STRONG
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Credential |
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Telephone | 931-243-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 15
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License Number State | TN
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