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General NPI Number Information
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NPI Number | 1285641258
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Entity Type | Organization
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Legal Business Name | DREW COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 778 SCOGIN DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5729
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Country | US
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Telephone | 870-367-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 778 SCOGIN DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5729
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Country | US
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Telephone | 870-367-2411
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | VONDA K RUSSELL
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Credential |
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Telephone | 870-460-3514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 07012884001
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License Number State | AR
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