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General NPI Number Information
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NPI Number | 1801050844
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Entity Type | Organization
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Legal Business Name | SHELBYVILLE HOSPITAL CORPORATION
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 12 MAGNOLIA DR
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City | LYNCHBURG
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State | TN
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Zip | 37352-8373
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Country | US
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Telephone | 931-759-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 12 MAGNOLIA DR
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City | LYNCHBURG
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State | TN
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Zip | 37352-8373
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Country | US
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Telephone | 931-759-5044
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. ALAN LOVELACE
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Credential |
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Telephone | 931-685-8254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | TN
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