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General NPI Number Information
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NPI Number | 1467764555
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Entity Type | Organization
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Legal Business Name | VANDERBILT MEDICAL CENTER
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 338 MEDICAL ARTS BLDG 1750
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City | NASHVILLE
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State | TN
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Zip | 37232-0001
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Country | US
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Telephone | 615-887-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 370 OAKLEY DR APT 1109
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City | NASHVILLE
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State | TN
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Zip | 37211-6971
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Country | US
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Telephone | 216-401-3152
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Fax |
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Authorized Official
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Title or Position | TRAUMA ACUTE CARE NURSE PRACTITIONE
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Name | MICHELLE TRAGER
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Credential | ACNP-BC
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Telephone | 615-887-8075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2010002576
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2010002576
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License Number State | TN
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