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General NPI Number Information
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NPI Number | 1184682874
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Entity Type | Organization
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Legal Business Name | S P ACQUISITION CORP.
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 1000 HIGHWAY 28
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City | JASPER
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State | TN
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Zip | 37347-3638
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Country | US
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Telephone | 423-837-9500
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Fax | 423-837-3333
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Provider Business Mailing Address
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Address Line | 1000 HIGHWAY 28
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City | JASPER
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State | TN
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Zip | 37347-3638
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Country | US
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Telephone | 423-837-9500
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Fax | 423-837-3333
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL S. SLIPKOVICH
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Credential |
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Telephone | 615-764-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000002180
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000077
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License Number State | TN
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