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General NPI Number Information
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NPI Number | 1013918960
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Entity Type | Organization
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Legal Business Name | GASTON MEMORIAL HOSPITAL, INCORPORATED
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 2525 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-2140
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Country | US
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Telephone | 704-834-2000
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Fax | 704-834-2500
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Provider Business Mailing Address
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Address Line | 2525 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-2140
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Country | US
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Telephone | 704-834-2000
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Fax | 704-834-2500
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Authorized Official
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Title or Position | VICE PRESIDENT / CFO
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Name | MR. DAVID O'CONNOR
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Credential |
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Telephone | 704-834-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H0105
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License Number State | NC
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