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General NPI Number Information
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NPI Number | 1073351557
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Entity Type | Organization
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Legal Business Name | KNOX COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 749 SANDUSKY STREET
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City | MOUNT VERNON
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State | OH
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Zip | 43050
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Country | US
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Telephone | 740-393-9008
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 COSHOCTON AVE
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City | MOUNT VERNON
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State | OH
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Zip | 43050-1440
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DANIELLE O'BRIEN
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Credential |
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Telephone | 740-393-9138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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