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General NPI Number Information
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NPI Number | 1073584751
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Entity Type | Organization
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Legal Business Name | LEXINGTON HOSPITAL CORPORATION
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 200 W CHURCH ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2014
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Country | US
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Telephone | 731-968-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W CHURCH ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2038
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Country | US
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Telephone | 731-968-3646
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Fax | 731-968-1705
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Authorized Official
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Title or Position | RCD
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Name | LARRY HENSON
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Credential |
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Telephone | 336-944-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 0000000058
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License Number State | TN
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