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General NPI Number Information
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NPI Number | 1972027159
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Entity Type | Organization
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Legal Business Name | VANDERBILT UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 2906 FOSTER CREIGHTON DR STE 100
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City | NASHVILLE
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State | TN
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Zip | 37204-3733
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Country | US
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Telephone | 615-936-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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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 | VICE PRESIDENT, FINANCE
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Name | MRS. ANGELA L SIMMONS
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Credential | CPA
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Telephone | 615-936-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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