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General NPI Number Information
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NPI Number | 1346236494
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1095 EAST LAMAR ALEXANDER PARKWAY
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City | MARYVILLE
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State | TN
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Zip | 37804
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Country | US
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Telephone | 865-977-5702
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Fax | 865-977-4787
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4TH
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-454-9604
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ENROLLMENT AND CVO
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Name | KRISTI A LAWRENCE
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Credential |
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Telephone | 864-522-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 441526
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License Number State | TN
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