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General NPI Number Information
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NPI Number | 1144655903
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Entity Type | Organization
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Legal Business Name | HUGH CHATHAM MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 5229 ROCK CREEK RD
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City | HAYS
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State | NC
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Zip | 28635-9267
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Country | US
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Telephone | 336-696-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 180 PARKWOOD DR
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City | ELKIN
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State | NC
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Zip | 28621-2430
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Country | US
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Telephone | 336-527-7463
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Fax |
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Authorized Official
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Title or Position | CPO
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Name | MARY F BLACKBURN
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Credential |
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Telephone | 336-527-7463
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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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