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General NPI Number Information
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NPI Number | 1831160753
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Entity Type | Organization
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Legal Business Name | CLEVELAND TENNESSEE HOSPITAL COMPANY LLC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/12/2009
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Provider Practice Location Address
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Address Line | 2800 WESTSIDE DR NW
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City | CLEVELAND
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State | TN
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Zip | 37312-3501
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Country | US
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Telephone | 423-339-4100
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Fax | 423-339-4372
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Provider Business Mailing Address
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Address Line | PO BOX 198029
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City | ATLANTA
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State | GA
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Zip | 30384-8029
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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 | SENIOR VP, GROUP OPERATIONS
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Name | WILLIAM HUSSEY
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Credential |
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Telephone | 888-373-9600
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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 | 0000000006
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License Number State | TN
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