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General NPI Number Information
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NPI Number | 1285602714
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Entity Type | Organization
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Legal Business Name | HUTCHESON MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 100 GROSS CRESCENT CIR
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City | FORT OGLETHORPE
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State | GA
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Zip | 30742-3643
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Country | US
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Telephone | 706-858-2000
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Fax | 706-858-2732
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Provider Business Mailing Address
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Address Line | 100 GROSS CRESCENT CIR
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City | FORT OGLETHORPE
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State | GA
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Zip | 30742-3643
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Country | US
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Telephone | 706-858-2000
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Fax | 706-858-2732
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES STEWART
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Credential |
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Telephone | 706-858-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 10231384
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License Number State | GA
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