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NPI 1780733402

NPI 1780733402 : CUMBERLAND ANESTHESIA, PLLC : CARTHAGE, TN

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General NPI Number Information
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    NPI Number           |    1780733402
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUMBERLAND ANESTHESIA, PLLC 
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Dates
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    Enumeration Date     |    01/10/2007
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    Last Update Date     |    11/18/2016
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Provider Practice Location Address
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    Address Line         |    158 HOSPITAL DR 
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    City                 |    CARTHAGE
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    State                |    TN
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    Zip                  |    37030-1083
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    Country              |    US
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    Telephone            |    615-735-1560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 291704 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37229-1704
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    Country              |    US
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    Telephone            |    615-620-2320
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    Fax                  |    615-620-2323
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Authorized Official
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    Title or Position    |    MANAGING PARTNER
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    Name                 |    MR. WAYNE E WINFREE 
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    Credential           |    CRNA
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    Telephone            |    615-735-2807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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