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General NPI Number Information
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NPI Number | 1477937712
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 109 INDEPENDENCE LN STE 300
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City | LA FOLLETTE
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State | TN
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Zip | 37766-3033
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Country | US
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Telephone | 423-566-0958
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Fax | 423-566-0962
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Provider Business Mailing Address
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Address Line | PO BOX 440134
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City | NASHVILLE
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State | TN
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Zip | 37244-0134
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6198
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CYNTHIA B MARQUART
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Credential |
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Telephone | 865-251-4346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TN
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