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NPI 1619496197

NPI 1619496197 : SHELBYVILLE HOSPITAL COMPANY LLC : SHELBYVILLE, TN

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General NPI Number Information
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    NPI Number           |    1619496197
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHELBYVILLE HOSPITAL COMPANY LLC 
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Dates
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    Enumeration Date     |    09/15/2017
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    Last Update Date     |    08/15/2019
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Provider Practice Location Address
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    Address Line         |    1612 N MAIN ST STE B 
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    City                 |    SHELBYVILLE
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    State                |    TN
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    Zip                  |    37160-2392
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    Country              |    US
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    Telephone            |    931-685-2022
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4000 MERIDIAN BLVD 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-6325
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP PHYSICIAN BUSINESS SERVICES
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    Name                 |     JAMES PATRICK WRIGHT 
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    Credential           |    
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    Telephone            |    615-778-1502
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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 |    
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