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General NPI Number Information
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NPI Number | 1144125204
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Entity Type | Organization
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Legal Business Name | CAMPBELL COUNTY HMA LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 389 FORGE RIDGE RD
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City | HARROGATE
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State | TN
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Zip | 37752-7730
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Country | US
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Telephone | 423-869-0725
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Fax | 423-869-9275
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Provider Business Mailing Address
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Address Line | 923 E CENTRAL AVE
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City | LA FOLLETTE
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State | TN
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Zip | 37766-2768
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Country | US
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Telephone | 423-907-1200
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Fax | 423-907-1163
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State | NULL
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