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NPI 1326185307

NPI 1326185307 : TENNESSEE DEPARTMENT OF HEALTH : ATHENS, TN

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General NPI Number Information
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    NPI Number           |    1326185307
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    Entity Type          |    Organization 
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    Legal Business Name  |    TENNESSEE DEPARTMENT OF HEALTH 
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Dates
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    Enumeration Date     |    01/31/2007
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    Last Update Date     |    02/08/2022
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Provider Practice Location Address
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    Address Line         |    393 COUNTY ROAD 554 
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    City                 |    ATHENS
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    State                |    TN
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    Zip                  |    37303-6420
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    Country              |    US
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    Telephone            |    423-745-7431
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    Fax                  |    423-744-7604
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Provider Business Mailing Address
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    Address Line         |    PO BOX 665 
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    City                 |    ATHENS
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    State                |    TN
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    Zip                  |    37371-0665
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    Country              |    US
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    Telephone            |    423-745-7431
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    Fax                  |    423-744-1604
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Authorized Official
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    Title or Position    |    ACCOUNTANT 3
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    Name                 |    MR. RICHARD W MCCARTHY 
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    Credential           |    
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    Telephone            |    423-634-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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