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NPI 1093234296

NPI 1093234296 : COX MONETT HOSPITAL INC : MONETT, MO

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General NPI Number Information
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    NPI Number           |    1093234296
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    Entity Type          |    Organization 
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    Legal Business Name  |    COX MONETT HOSPITAL INC 
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Dates
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    Enumeration Date     |    09/19/2017
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    Last Update Date     |    09/19/2017
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Provider Practice Location Address
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    Address Line         |    2200 E CLEVELAND ST 
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    City                 |    MONETT
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    State                |    MO
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    Zip                  |    65708-6149
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    Country              |    US
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    Telephone            |    417-236-2600
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    Fax                  |    417-236-2619
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Provider Business Mailing Address
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    Address Line         |    3800 S NATIONAL AVE STE 540 
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    City                 |    SPRINGFIELD
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    State                |    MO
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    Zip                  |    65807-5284
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    Country              |    US
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    Telephone            |    417-269-5712
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    Fax                  |    417-269-7567
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Authorized Official
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    Title or Position    |    PRESIDENT COX MONETT
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    Name                 |     DARREN  BASS 
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    Credential           |    
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    Telephone            |    417-354-1407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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