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General NPI Number Information
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NPI Number | 1205659711
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Entity Type | Organization
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Legal Business Name | SWEETWATER HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 304 WRIGHT ST
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City | SWEETWATER
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State | TN
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Zip | 37874-1181
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Country | US
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Telephone | 865-213-8582
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Fax |
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Provider Business Mailing Address
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Address Line | 304 WRIGHT ST
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City | SWEETWATER
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State | TN
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Zip | 37874-1181
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Country | US
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Telephone | 865-213-8582
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ASHLEY GAIL VOTRUBA
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Credential |
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Telephone | 865-213-8582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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