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General NPI Number Information
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NPI Number | 1063878676
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Entity Type | Organization
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Legal Business Name | WAYNE GENERAL HOSPITAL
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 940 MATTHEW DR STE 8
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City | WAYNESBORO
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State | MS
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Zip | 39367-2534
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Country | US
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Telephone | 601-735-7101
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Fax | 601-735-7181
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Provider Business Mailing Address
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Address Line | PO BOX 1249 940 MATTHEW DRIVE, SUITE 8
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City | WAYNESBORO
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State | MS
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Zip | 39367-1249
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Country | US
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Telephone | 601-735-7101
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Fax | 601-735-7181
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Authorized Official
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Title or Position | CEO
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Name | MRS. KATHY WADDELL
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Credential |
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Telephone | 601-735-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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