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NPI 1528396959

NPI 1528396959 : CUMBERLAND MEDICAL CENTER, INC. : CROSSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1528396959
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUMBERLAND MEDICAL CENTER, INC. 
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Dates
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    Enumeration Date     |    11/23/2009
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    Last Update Date     |    05/28/2010
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Provider Practice Location Address
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    Address Line         |    421 S MAIN ST 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-5048
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    Country              |    US
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    Telephone            |    931-459-7105
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    Fax                  |    931-707-2737
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Provider Business Mailing Address
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    Address Line         |    421 S MAIN ST 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-5048
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    Country              |    US
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    Telephone            |    931-459-7105
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    Fax                  |    931-707-2737
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Authorized Official
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    Title or Position    |    FIANCE DIRECTOR
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    Name                 |    MR. LARRY  EBERT JR.
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    Credential           |    
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    Telephone            |    931-459-7105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    273Y00000X
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    Taxonomy Name        |    Rehabilitation Hospital Unit
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    License Number       |    
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    License Number State |    
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