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General NPI Number Information
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NPI Number | 1386610145
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Entity Type | Organization
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Legal Business Name | WAYNE COUNTY HEALTH CENTER
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 HICKORY ST
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City | GREENVILLE
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State | MO
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Zip | 63944-0259
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Country | US
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Telephone | 573-224-3218
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Fax | 573-224-3164
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Provider Business Mailing Address
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Address Line | 115 HICKORY ST PO BOX 259
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City | GREENVILLE
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State | MO
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Zip | 63944-0259
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Country | US
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Telephone | 573-224-3218
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Fax | 573-224-3164
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. RAE J CRUTCHFIELD
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Credential |
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Telephone | 573-224-3218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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