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General NPI Number Information
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NPI Number | 1194016055
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Entity Type | Organization
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Legal Business Name | J. ARTHUR DOSHER MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 11 E 9TH ST
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City | SOUTHPORT
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State | NC
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Zip | 28461-3083
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Country | US
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Telephone | 910-457-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 924 N HOWE ST
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City | SOUTHPORT
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State | NC
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Zip | 28461-3038
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Country | US
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Telephone | 910-457-3800
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Fax | 910-457-7066
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | BRANDON HUGHES
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Credential |
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Telephone | 910-454-4728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State |
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