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General NPI Number Information
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NPI Number | 1194801860
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Entity Type | Organization
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Legal Business Name | HOLZER HOSPITAL FOUNDATION
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2881 STATE ROUTE 160
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City | GALLIPOLIS
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State | OH
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Zip | 45631-8441
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Country | US
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Telephone | 740-446-5051
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Fax | 740-446-5522
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Provider Business Mailing Address
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Address Line | 2881 STATE ROUTE 160
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City | GALLIPOLIS
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State | OH
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Zip | 45631-8441
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Country | US
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Telephone | 740-446-5051
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Fax | 740-446-5522
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MICHAEL R CANADY
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Credential | MD
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Telephone | 740-446-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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