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General NPI Number Information
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NPI Number | 1447861562
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Entity Type | Organization
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Legal Business Name | WEST TENNESSEE HEALTHCARE HENRY COUNTY
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 305 TYSON AVENUE
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City | PARIS
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State | TN
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Zip | 38242-4544
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Country | US
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Telephone | 731-642-0025
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Fax | 731-644-9639
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Provider Business Mailing Address
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Address Line | 301 TYSON AVENUE
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City | PARIS
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State | TN
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Zip | 38242-4544
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Country | US
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Telephone | 731-642-0025
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Fax |
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Authorized Official
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Title or Position | INTERIM PRESIDENT AND CEO
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Name | TINA PRESCOTT
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Credential |
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Telephone | 731-541-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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