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NPI 1881613909

NPI 1881613909 : TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC. : GREENEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1881613909
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC. 
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Dates
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    Enumeration Date     |    07/19/2006
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    Last Update Date     |    04/20/2008
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Provider Practice Location Address
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    Address Line         |    401 TAKOMA AVE 
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    City                 |    GREENEVILLE
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    State                |    TN
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    Zip                  |    37743-4647
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    Country              |    US
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    Telephone            |    423-639-3151
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    Fax                  |    423-636-2374
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Provider Business Mailing Address
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    Address Line         |    401 TAKOMA AVE 
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    City                 |    GREENEVILLE
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    State                |    TN
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    Zip                  |    37743-4647
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    Country              |    US
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    Telephone            |    423-639-3151
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    Fax                  |    423-636-2374
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     BLIN  RICHARDS 
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    Credential           |    
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    Telephone            |    423-636-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NR1301X
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    Taxonomy Name        |    Rural Acute Care Hospital
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    License Number       |    0000000054
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    License Number State |    TN
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