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General NPI Number Information
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NPI Number | 1255577227
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Entity Type | Organization
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Legal Business Name | VANDERBILT PSYCHIATRIC HOSPITAL, LLC
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 1601 23RD AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-3133
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Country | US
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Telephone | 615-320-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 3319 W END AVE SUITE 800
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City | NASHVILLE
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State | TN
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Zip | 37203-1059
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Country | US
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Telephone | 615-322-0337
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Fax | 615-322-4957
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Authorized Official
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Title or Position | CEO
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Name | MR. LARRY M GOLDBERG
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Credential |
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Telephone | 615-343-0628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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