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General NPI Number Information
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NPI Number | 1275745002
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Entity Type | Organization
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Legal Business Name | DAVIESS COUNTY HOSPITAL
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1401 MEMORIAL AVE STE C
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City | WASHINGTON
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State | IN
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Zip | 47501-3154
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Country | US
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Telephone | 812-254-8856
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Fax | 812-254-4831
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Provider Business Mailing Address
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Address Line | PO BOX 760
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City | WASHINGTON
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State | IN
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Zip | 47501-0760
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Country | US
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Telephone | 812-254-7310
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Fax | 812-257-8062
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Authorized Official
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Title or Position | BOARD MEMEBER
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Name | MR. AMTHONY SHOWALTER
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Credential |
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Telephone | 812-254-2760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 01028253A
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License Number State | IN
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