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General NPI Number Information
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NPI Number | 1063431575
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Entity Type | Organization
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Legal Business Name | HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 1802 ELM ST
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City | CANTON
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State | MO
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Zip | 63435-1694
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Country | US
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Telephone | 573-655-4891
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Fax | 573-288-5361
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Provider Business Mailing Address
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Address Line | 6500 HOSPITAL DR
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City | HANNIBAL
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State | MO
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Zip | 63401-6890
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Country | US
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Telephone | 573-221-3415
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | ROB GASAWAY
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Credential |
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Telephone | 573-406-1608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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