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General NPI Number Information
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NPI Number | 1306016779
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Entity Type | Organization
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Legal Business Name | WILLIAMSON SAINT THOMAS COMMUNITY HEALTH
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Dates
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Enumeration Date | 03/02/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 4323 CAROTHERS PKWY SUITE #409
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City | FRANKLIN
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State | TN
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Zip | 37067-5914
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Country | US
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Telephone | 615-435-7780
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Fax | 615-435-7789
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Provider Business Mailing Address
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Address Line | 4323 CAROTHERS PKWY SUITE #409
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City | FRANKLIN
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State | TN
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Zip | 37067-5914
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Country | US
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Telephone | 615-435-7780
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Fax | 615-435-7789
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SHELLY C. BRUNETTE
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Credential |
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Telephone | 931-384-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24630
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License Number State | TN
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