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General NPI Number Information
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NPI Number | 1386699197
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Entity Type | Organization
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Legal Business Name | SELBY GENERAL HOSPITAL
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 1106 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1323
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Country | US
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Telephone | 740-568-2040
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Fax | 740-568-2089
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Provider Business Mailing Address
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Address Line | 1106 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1323
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Country | US
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Telephone | 740-568-2048
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Fax | 740-568-2094
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAIGE SMITH
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Credential |
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Telephone | 740-568-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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