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General NPI Number Information
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NPI Number | 1073759494
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Entity Type | Organization
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Legal Business Name | ANDERSON REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 1102 CONSTITUTION AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-4001
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Country | US
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Telephone | 601-553-6647
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Fax | 601-553-6115
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Provider Business Mailing Address
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Address Line | 2124 14TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-4040
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Country | US
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Telephone | 601-553-6000
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Fax | 601-553-6848
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Authorized Official
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Title or Position | CFO
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Name | MR. KEITH HEARTSILL
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Credential |
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Telephone | 601-553-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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