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General NPI Number Information
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NPI Number | 1003947979
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Entity Type | Organization
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Legal Business Name | RUTHERFORD HOSPITAL INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 607 120 HWY
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City | MOORESBORO
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State | NC
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Zip | 28114
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Country | US
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Telephone | 828-453-7455
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Fax | 828-453-9490
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Provider Business Mailing Address
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Address Line | 607 120 HWY
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City | MOORESBORO
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State | NC
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Zip | 28114
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Country | US
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Telephone | 828-453-7455
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Fax | 828-453-9490
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Authorized Official
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Title or Position | VICE PRESIDENT AND CFO
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Name | MR. JAMES B BROSS
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Credential |
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Telephone | 828-286-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07177
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License Number State | NC
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