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General NPI Number Information
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NPI Number | 1245373455
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S HOSPITAL INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 101 HOSPITAL DR
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City | COLUMBUS
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State | NC
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Zip | 28722-6418
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Country | US
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Telephone | 828-894-0820
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Fax | 828-894-5319
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Provider Business Mailing Address
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Address Line | 101 HOSPITAL DR
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City | COLUMBUS
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State | NC
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Zip | 28722-6418
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Country | US
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Telephone | 828-894-0820
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Fax | 828-894-5319
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Authorized Official
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Title or Position | CEO
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Name | MR. KENNETH ARTHUR SHULL
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Credential |
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Telephone | 828-894-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H0079
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License Number State | NC
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