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General NPI Number Information
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NPI Number | 1275800088
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Entity Type | Organization
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Legal Business Name | JENKINS COUNTY HOSPITAL LLC
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 620 SPARTA RD
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1803
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Country | US
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Telephone | 478-552-9402
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E DERENNE AVE
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City | SAVANNAH
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State | GA
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Zip | 31405-6736
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Country | US
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Telephone | 912-644-5300
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Fax | 912-644-5260
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL W KLEINPETER
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Credential |
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Telephone | 912-644-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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