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General NPI Number Information
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NPI Number | 1275621690
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Entity Type | Organization
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Legal Business Name | CUMBERLAND MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 421 SOUTH MAIN STREET
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City | CROSSVILLE
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State | TN
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Zip | 38555
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Country | US
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Telephone | 931-484-9511
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Fax | 931-707-2737
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Provider Business Mailing Address
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Address Line | 421 SOUTH MAIN STREET
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City | CROSSVILLE
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State | TN
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Zip | 38555
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Country | US
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Telephone | 931-484-9511
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Fax | 931-707-2737
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. LARRY EBERT
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Credential |
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Telephone | 931-459-7105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0000000327
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License Number State | TN
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