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General NPI Number Information
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NPI Number | 1346247350
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 1341 CLARK ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9614
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Country | US
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Telephone | 740-439-8179
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Fax | 740-439-8175
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Provider Business Mailing Address
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Address Line | 1341 CLARK ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9614
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Country | US
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Telephone | 740-439-8179
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Fax | 740-439-8175
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Authorized Official
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Title or Position | CEO
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Name | WENDY ELLIOTT
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Credential |
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Telephone | 740-420-8075
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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 |
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License Number State |
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