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General NPI Number Information
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NPI Number | 1609011733
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Entity Type | Organization
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Legal Business Name | CUMBERLAND RIVER HOSPITAL INC
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 100 OLD JEFFERSON ST
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City | CELINA
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State | TN
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Zip | 38551-4040
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Country | US
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Telephone | 931-243-3581
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Fax | 931-243-5222
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Provider Business Mailing Address
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Address Line | 100 OLD JEFFERSON ST
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City | CELINA
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State | TN
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Zip | 38551-4040
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Country | US
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Telephone | 931-243-3581
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Fax | 931-243-5222
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Authorized Official
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Title or Position | CAO
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Name | MRS. TRICIA L STRONG
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Credential |
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Telephone | 931-243-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 15
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License Number State | TN
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