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General NPI Number Information
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NPI Number | 1528057791
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Entity Type | Organization
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Legal Business Name | MAURY REGIONAL HOSPITAL
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 800 S JAMES M CAMPBELL BLVD STE 12
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City | COLUMBIA
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State | TN
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Zip | 38401-5937
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Country | US
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Telephone | 931-490-4600
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Fax | 931-380-4103
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Provider Business Mailing Address
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Address Line | 858 W JAMES M CAMPBELL BLVD STE 204
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City | COLUMBIA
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State | TN
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Zip | 38401-4660
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Country | US
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Telephone | 931-490-4600
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Fax | 931-380-4103
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Authorized Official
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Title or Position | CFO
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Name | CHARLES J BRINKLEY III
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Credential |
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Telephone | 931-540-4212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0000000180
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License Number State | TN
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