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General NPI Number Information
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NPI Number | 1679614812
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Entity Type | Organization
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Legal Business Name | VANDERBILT UNIVERSITY
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 3443 DICKERSON PIKE
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City | NASHVILLE
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State | TN
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Zip | 37207-2524
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Country | US
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Telephone | 61-532-2500
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Fax | 615-936-0695
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Provider Business Mailing Address
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Address Line | 4163 VILLAGE AT VANDERBILT
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City | NASHVILLE
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State | TN
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Zip | 37232-8678
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Country | US
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Telephone | 615-932-2357
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Fax | 615-936-6095
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | C. WRIGHT PINSON
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Credential | M.D.
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Telephone | 615-322-3573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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