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General NPI Number Information
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NPI Number | 1689645418
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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 | 01/30/2006
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 2835 HWY 231 N
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City | SHELBYVILLE
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State | TN
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Zip | 37160-2607
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Country | US
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Telephone | 931-685-5433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 403621
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City | ATLANTA
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State | GA
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Zip | 30384-3621
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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 | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA M LALOR
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Credential |
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Telephone | 615-925-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 0000000002
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License Number State | TN
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