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General NPI Number Information
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NPI Number | 1215988324
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Entity Type | Organization
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Legal Business Name | MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 161 HOSPITAL DR
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City | MC KENZIE
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State | TN
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Zip | 38201-1636
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Country | US
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Telephone | 660-826-5960
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Fax | 660-826-4852
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Provider Business Mailing Address
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Address Line | 7100 COMMERCE WAY SUITE 180
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City | BRENTWOOD
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State | TN
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Zip | 37027-2829
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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 | DIRECTOR, PROVIDER ENROLLMENT
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Name | DEBBIE E BREWER
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Credential |
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Telephone | 877-892-9813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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