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General NPI Number Information
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NPI Number | 1083630149
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Entity Type | Organization
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Legal Business Name | T J SAMSON COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1301 N RACE ST
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City | GLASGOW
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State | KY
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Zip | 42141-3454
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Country | US
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Telephone | 270-651-4430
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Fax | 270-651-4862
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Provider Business Mailing Address
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Address Line | PO BOX 645996
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City | CINCINNATI
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State | OH
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Zip | 45264-5996
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Country | US
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Telephone | 270-651-4430
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Fax | 270-651-4862
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Authorized Official
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Title or Position | CEO
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Name | NEIL THORNBURY
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Credential |
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Telephone | 270-651-4159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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