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General NPI Number Information
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NPI Number | 1861479545
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Entity Type | Organization
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Legal Business Name | MAURY REGIONAL HOSPITAL
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1224 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401-4802
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Country | US
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Telephone | 931-381-1111
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Fax | 931-540-4294
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Provider Business Mailing Address
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Address Line | PO BOX 100054
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City | ATLANTA
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State | GA
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Zip | 30348-0054
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Country | US
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Telephone | 931-381-1111
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Fax | 931-540-4236
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Authorized Official
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Title or Position | VP FINANCE/IT
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Name | GREGORY A WHITLOCK
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Credential |
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Telephone | 931-540-4212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000074
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License Number State | TN
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