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General NPI Number Information
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NPI Number | 1427253533
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Entity Type | Organization
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Legal Business Name | HIGHLAND RIM MEDICAL CENTER
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2330 THORNTON TAYLOR PKWY SUITE A
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3630
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Country | US
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Telephone | 931-433-9900
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Fax | 931-433-9999
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Provider Business Mailing Address
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Address Line | 2330 THORNTON TAYLOR PKWY SUITE A
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3630
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Country | US
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Telephone | 931-433-9900
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Fax | 931-433-9999
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Authorized Official
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Title or Position | DR
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Name | DR. LARRY WAYNE BARNES
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Credential | M.D.
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Telephone | 931-433-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 16030
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License Number State | TN
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