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General NPI Number Information
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NPI Number | 1215936927
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Entity Type | Organization
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Legal Business Name | MARIETTA MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-374-1413
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Fax | 740-568-5475
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Provider Business Mailing Address
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Address Line | 401 MATTHEW ST ATTN: PROVIDER ENROLLMENT
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-374-6090
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Fax | 740-374-3165
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Authorized Official
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Title or Position | LEGAL AFFAIRS
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Name | PAUL WESTBROCK
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Credential |
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Telephone | 740-374-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | OH
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