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General NPI Number Information
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NPI Number | 1649491473
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Entity Type | Organization
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Legal Business Name | HICKMAN COMMUNITY HEALTH SERVICES
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 135 E SWAN ST
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City | CENTERVILLE
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State | TN
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Zip | 37033-1417
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Country | US
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Telephone | 931-729-4271
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Fax | 931-729-6814
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Provider Business Mailing Address
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Address Line | 135 E SWAN ST
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City | CENTERVILLE
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State | TN
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Zip | 37033-1417
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Country | US
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Telephone | 931-729-6815
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Fax | 931-729-6814
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Authorized Official
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Title or Position | AREA DIRECTOR CONTINUITY OF CARE
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Name | VIKAS VOHRA
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Credential |
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Telephone | 630-624-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 234
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License Number State | TN
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