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General NPI Number Information
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NPI Number | 1477709053
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Entity Type | Organization
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Legal Business Name | VANDERBILT UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 1215 21ST AVE S SUITE 9302
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City | NASHVILLE
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State | TN
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Zip | 37232-0014
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Country | US
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Telephone | 615-343-6152
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Fax | 615-322-9109
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Provider Business Mailing Address
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Address Line | 1215 21ST AVE S SUITE 9302
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City | NASHVILLE
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State | TN
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Zip | 37232-0014
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Country | US
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Telephone | 615-343-6152
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Fax | 615-322-9109
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. MARY MARGARET EDWARDS
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Credential | AU.D.
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Telephone | 615-343-6152
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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 | 1319
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License Number State | TN
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