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General NPI Number Information
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NPI Number | 1699861005
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Entity Type | Organization
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Legal Business Name | WEST TENNESSEE HEALTHCARE HENRY COUNTY
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 301 TYSON AVE
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City | PARIS
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State | TN
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Zip | 38242-4544
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Country | US
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Telephone | 731-642-1220
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Fax | 731-644-8587
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Provider Business Mailing Address
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Address Line | 301 TYSON AVENUE
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City | PARIS
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State | TN
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Zip | 38242-4544
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Country | US
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Telephone | 731-642-1220
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Fax | 731-644-8584
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Authorized Official
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Title or Position | INTERIM PRESIDENT AND CEO
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Name | TINA PRESCOTT
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Credential |
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Telephone | 731-541-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 000000057
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License Number State | TN
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