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General NPI Number Information
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NPI Number | 1447209119
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Entity Type | Organization
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Legal Business Name | LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC., CAH
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 220 S MAIN ST
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City | MARION
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State | KY
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Zip | 42064-1543
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Country | US
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Telephone | 270-965-4377
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Fax | 270-965-9569
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Provider Business Mailing Address
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Address Line | 131 HOSPITAL DR
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City | SALEM
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State | KY
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Zip | 42078-8043
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Country | US
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Telephone | 270-988-2299
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Fax | 270-988-3900
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Authorized Official
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Title or Position | CEO
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Name | ROD SHANE WHITTINGTON
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Credential |
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Telephone | 270-988-7236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 600071
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License Number State | KY
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