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General NPI Number Information
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NPI Number | 1881376747
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Entity Type | Organization
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Legal Business Name | RH EMERGENCY MEDICINE OF CALDWELL MEDICAL, LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 09/22/2024
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER DR
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City | PRINCETON
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State | KY
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Zip | 42445-2430
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Country | US
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Telephone | 270-365-0300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7058
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City | TUPELO
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State | MS
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Zip | 38802-7058
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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 | ENTERPRISE CFO
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Name | JENNIFER K. WAKEFORD
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Credential |
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Telephone | 662-432-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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