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General NPI Number Information
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NPI Number | 1023074028
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Entity Type | Organization
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Legal Business Name | GEORGE COUNTY HOSPITAL
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 859 WINTER ST
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City | LUCEDALE
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State | MS
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Zip | 39452-6603
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Country | US
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Telephone | 601-947-3161
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Fax | 601-947-9206
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Provider Business Mailing Address
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Address Line | PO BOX 607
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City | LUCEDALE
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State | MS
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Zip | 39452-0607
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Country | US
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Telephone | 601-947-3161
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Fax | 601-947-9206
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL A GARDNER
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Credential |
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Telephone | 601-947-9148
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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 | 11-166
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License Number State | MS
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