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General NPI Number Information
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NPI Number | 1417077058
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Entity Type | Organization
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Legal Business Name | VANGUARD HEALTHCARE ANCILLARY SERVICES, LLC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 6 CADILLAC DR SUITE 310
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City | BRENTWOOD
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State | TN
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Zip | 37027-5080
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Country | US
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Telephone | 615-250-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CADILLAC DR SUITE 310
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City | BRENTWOOD
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State | TN
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Zip | 37027-5080
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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 | MANAGING PARTNER
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Name | MR. KIRK F HEBERT
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Credential |
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Telephone | 615-250-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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