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General NPI Number Information
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NPI Number | 1124536990
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Entity Type | Organization
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Legal Business Name | SCOTT COUNTY COMMUNITY HOSPITAL, INC.
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 18797 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-2127
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Country | US
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Telephone | 423-569-8521
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Fax | 423-286-5306
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Provider Business Mailing Address
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Address Line | 18797 ALBERTA ST
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City | ONEIDA
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State | TN
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Zip | 37841-2127
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Country | US
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Telephone | 423-569-8521
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Fax | 423-286-5306
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | KRISTIN WILBER
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Credential |
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Telephone | 423-286-5307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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