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General NPI Number Information
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NPI Number | 1194121079
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Entity Type | Organization
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Legal Business Name | PUTNAM COUNTY HOSPITAL
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 395 8TH AVE
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City | TERRE HAUTE
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State | IN
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Zip | 47804-4064
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Country | US
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Telephone | 812-234-7111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221648
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City | LOUISVILLE
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State | KY
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Zip | 40252-1648
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Country | US
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Telephone | 502-412-5847
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DENNIS WEATHERFORD
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Credential |
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Telephone | 765-655-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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