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General NPI Number Information
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NPI Number | 1528388196
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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 | 06/07/2010
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Last Update Date | 06/07/2010
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Provider Practice Location Address
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Address Line | 1301 MEDICAL CENTER DR TVC SUITE 1501
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City | NASHVILLE
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State | TN
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Zip | 37232-0028
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Country | US
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Telephone | 615-343-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 MEDICAL CENTER DR TVC SUITE 1501
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City | NASHVILLE
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State | TN
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Zip | 37232-0028
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Country | US
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Telephone | 615-343-2230
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Fax |
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Authorized Official
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Title or Position | VPEC MANAGER
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Name | MR. RUSSELL KUNIC
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Credential | FNP-BC
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Telephone | 615-343-2230
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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 | APN0000015011
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License Number State | TN
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