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General NPI Number Information
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NPI Number | 1235342684
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Entity Type | Organization
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Legal Business Name | TOWN OF CROSSVILLE HOUSING AUTHORITY
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 67 IRWIN AVE
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City | CROSSVILLE
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State | TN
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Zip | 38555-4746
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Country | US
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Telephone | 931-484-2990
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Fax | 931-456-1513
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Provider Business Mailing Address
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Address Line | 67 IRWIN AVE
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City | CROSSVILLE
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State | TN
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Zip | 38555-4746
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Country | US
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Telephone | 931-484-2990
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Fax | 931-456-1513
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DONALD R. ALEXANDER
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Credential |
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Telephone | 931-484-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | I 438-125-9034
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License Number State | TN
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