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General NPI Number Information
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NPI Number | 1285331298
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Entity Type | Organization
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Legal Business Name | TATE COUNTY HOSPITAL
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 401 GETWELL DR
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City | SENATOBIA
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State | MS
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Zip | 38668-2213
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Country | US
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Telephone | 662-612-0311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 508
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City | SENATOBIA
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State | MS
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Zip | 38668-0508
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Country | US
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Telephone | 662-612-0311
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA LLOYD HAMMONS
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Credential |
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Telephone | 601-278-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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