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General NPI Number Information
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NPI Number | 1073850558
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Entity Type | Organization
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Legal Business Name | ACUTE CARE OF ADAMSVILLE
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 305 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2313
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Country | US
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Telephone | 731-632-0901
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2313
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Country | US
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Telephone | 731-632-0901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK A LOTHENORE
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Credential | FNP
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Telephone | 731-632-0901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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