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General NPI Number Information
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NPI Number | 1083650584
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Entity Type | Organization
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Legal Business Name | LIVINGSTON REGIONAL HOSPITAL LLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 315 OAK ST
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City | LIVINGSTON
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State | TN
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Zip | 38570-1728
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Country | US
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Telephone | 931-823-5611
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Fax | 931-403-2334
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Provider Business Mailing Address
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Address Line | 680 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2407
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Country | US
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Telephone |
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Fax | 502-212-8481
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Authorized Official
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Title or Position | DIRECTOR LICENSE AND CERTIFICATION
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Name | JOHNETTA TRAYLOR
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Credential |
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Telephone | 502-596-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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