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General NPI Number Information
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NPI Number | 1265226120
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1755 N MECKLENBURG AVE
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City | SOUTH HILL
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State | VA
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Zip | 23970-4080
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Country | US
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Telephone | 804-828-5009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 787755
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City | PHILADELPHIA
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State | PA
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Zip | 19178-7755
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Country | US
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Telephone | 804-828-5009
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Fax |
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE OPTIMIZATION
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Name | ELIZABETH HARLAN
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Credential |
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Telephone | 804-828-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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