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General NPI Number Information
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NPI Number | 1194991232
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Entity Type | Organization
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Legal Business Name | PARKRIDGE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 941 SPRING CREEK RD
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City | CHATTANOOGA
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State | TN
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Zip | 37412-3909
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Country | US
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Telephone | 423-894-7870
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Fax | 423-855-3648
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Provider Business Mailing Address
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Address Line | 552 METROPLEX DR
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City | NASHVILLE
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State | TN
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Zip | 37211-3133
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Country | US
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Telephone | 423-894-7870
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Fax | 423-855-3648
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Authorized Official
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Title or Position | CFO
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Name | JOHN PORADA
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Credential |
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Telephone | 423-855-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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