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General NPI Number Information
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NPI Number | 1063493476
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Entity Type | Organization
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Legal Business Name | SALEM HOSPITAL CORPORATION
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 499 BECKETT RD
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1766
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Country | US
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Telephone | 856-467-6966
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Fax | 856-241-0894
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Provider Business Mailing Address
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Address Line | 7100 COMMERCE WAY SUITE 180
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City | BRENTWOOD
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State | TN
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Zip | 37027-2829
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Country | US
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Telephone | 615-465-7000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER ENROLLMENT
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Name | DEBBIE T BREWER
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Credential |
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Telephone | 615-465-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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