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General NPI Number Information
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NPI Number | 1316939689
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Entity Type | Organization
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Legal Business Name | CLINTON COUNTY HOSPITAL, INC.
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 723 BURKESVILLE RD
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City | ALBANY
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State | KY
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Zip | 42602-1654
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Country | US
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Telephone | 606-387-6421
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Fax | 606-387-8550
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Provider Business Mailing Address
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Address Line | 723 BURKESVILLE RD
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City | ALBANY
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State | KY
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Zip | 42602-1654
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Country | US
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Telephone | 606-387-6421
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Fax | 606-387-8550
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. J. D. MULLINS
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Credential |
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Telephone | 606-387-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 100078
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License Number State | KY
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