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State Of Tennessee
Public Health or Welfare Agency in Humboldt, Tennessee
NPI 1821148081

State Of Tennessee is a Public Health or Welfare Agency based in Humboldt, TN. State Of Tennessee practices in Humboldt, TN. The NPI Number for State Of Tennessee is 1821148081 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 149 North 12Th Street, Humboldt, TN and can be reached out via phone at 731-784-5491 and via fax at 731-784-1726.

Location: 149 North 12Th Street, Humboldt, TN, 38343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821148081
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
149 North 12Th Street, Humboldt, TN, 38343
Phone Number
731-784-5491
Fax Number
731-784-1726
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4448184 05 TN
institution
Provider Business Practice Location Address Details
Address
149 North 12Th Street
City
Humboldt
State
Tennessee
Zip
38343
Phone Number
731-784-5491
Fax Number
731-784-1726
person
Provider Business Mailing Address Details
Address
149 North 12Th Street
City
Humboldt
State
Tennessee
Zip
38343
Phone Number
731-784-5491
Fax Number
731-784-1726
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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