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General NPI Number Information
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NPI Number | 1326169806
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Entity Type | Organization
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Legal Business Name | STONES RIVER HOSPITAL
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 324 DOOLITTLE RD
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City | WOODBURY
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State | TN
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Zip | 37190-1139
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Country | US
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Telephone | 615-563-7230
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Fax | 615-563-7234
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Provider Business Mailing Address
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Address Line | 324 DOOLITTLE RD
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City | WOODBURY
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State | TN
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Zip | 37190-1139
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHRM MANG
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Name | KIM MULLEN
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Credential |
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Telephone | 615-563-7233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 410
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License Number State | TN
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