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General NPI Number Information
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NPI Number | 1164757803
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 235 HILLCREST DR
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City | CINCINNATI
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State | OH
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Zip | 45215-2609
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Country | US
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Telephone | 513-761-7316
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Fax |
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Provider Business Mailing Address
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Address Line | 235 HILLCREST DR
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City | CINCINNATI
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State | OH
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Zip | 45215-2609
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Country | US
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Telephone | 513-761-7316
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Fax |
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Authorized Official
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Title or Position | ADVANCED NURSE PRACTITIONER
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Name | MS. DENISE ANN ROCKLIN
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Credential | MSN
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Telephone | 513-862-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | RX.04696
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License Number State | OH
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