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General NPI Number Information
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NPI Number | 1205254356
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Entity Type | Organization
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Legal Business Name | MARION REGIONAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1336 MILITARY ST S
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City | HAMILTON
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State | AL
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Zip | 35570-5005
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Country | US
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Telephone | 205-921-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 808 VARSITY DR
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City | TUPELO
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State | MS
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Zip | 38801-4613
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Country | US
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Telephone | 662-377-4685
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Fax |
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | BRUCE TOPPIN
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Credential |
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Telephone | 662-377-3978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | H4703
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License Number State | AL
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