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General NPI Number Information
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NPI Number | 1285091330
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Entity Type | Organization
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Legal Business Name | VANDERBILT UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 1211 MEDICAL CENTER DR TVC 1815
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City | NASHVILLE
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State | TN
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Zip | 37232-0004
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Country | US
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Telephone | 615-322-6480
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Fax | 615-329-9358
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Provider Business Mailing Address
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Address Line | 726 MELROSE AVE
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City | NASHVILLE
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State | TN
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Zip | 37211-2151
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Country | US
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Telephone | 615-322-6480
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Fax | 615-329-9358
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | MARK SULLIVAN
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Credential |
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Telephone | 615-343-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1008
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH30942
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1190
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2017035590
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 16229
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License Number State | MS
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Taxonomy #7
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | TN2111
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHNR001329
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 111952
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License Number State | AL
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