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General NPI Number Information
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NPI Number | 1225239528
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Entity Type | Organization
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Legal Business Name | OAKTREE HOSPITAL AT BAPTIST NORTHEAST, LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1025 NEW MOODY LN
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City | LAGRANGE
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State | KY
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Zip | 40031-9154
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Country | US
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Telephone | 502-222-8506
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Fax | 502-222-8526
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Provider Business Mailing Address
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Address Line | 1025 NEW MOODY LN
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City | LAGRANGE
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State | KY
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Zip | 40031-9154
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Country | US
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Telephone | 502-222-8506
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Fax | 502-222-8526
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOHN OSBORNE
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Credential |
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Telephone | 502-222-8506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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