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General NPI Number Information
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NPI Number | 1396886537
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Entity Type | Organization
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Legal Business Name | VANDERBILT UNIVERSITY
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 324 COOLS SPRINGS BLVD.
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City | FRANKLIN
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State | TN
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Zip | 37067
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Country | US
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Telephone | 615-771-7265
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Fax |
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Provider Business Mailing Address
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Address Line | 2146 BELCOURT AVENUE
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City | NASHVILLE
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State | TN
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Zip | 37232-8792
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Country | US
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Telephone | 615-936-0471
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Fax | 615-936-6095
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Authorized Official
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Title or Position | DIRECTOR, PROVIDER SUPPORT SERVICES
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Name | DANIELLE G. MIDGETT
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Credential |
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Telephone | 615-936-0471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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