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General NPI Number Information
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NPI Number | 1073516019
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Entity Type | Organization
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Legal Business Name | DREW COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 778 SCOGIN DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5729
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Country | US
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Telephone | 870-367-2411
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Fax | 870-460-3562
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Provider Business Mailing Address
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Address Line | 778 SCOGIN DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5729
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Country | US
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Telephone | 870-367-2411
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Fax | 870-460-3562
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL LAYFIELD
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Credential |
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Telephone | 870-460-3589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2870
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License Number State | AR
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