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General NPI Number Information
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NPI Number | 1134937345
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Entity Type | Organization
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Legal Business Name | PERRY COUNTY MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 153 W MAIN ST
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City | LINDEN
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State | TN
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Zip | 37096-7001
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Country | US
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Telephone | 931-589-2104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917
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City | LINDEN
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State | TN
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Zip | 37096-0917
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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 | CEO
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Name | PHILLIP TATUM
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Credential |
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Telephone | 931-589-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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