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General NPI Number Information
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NPI Number | 1447342514
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Entity Type | Organization
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Legal Business Name | WILSON MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 915 WEST MICHIGAN STREET OCCUPATIONAL HEALTH
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City | SIDNEY
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State | OH
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Zip | 45365-2491
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Country | US
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Telephone | 937-498-5545
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Fax | 937-498-5544
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Provider Business Mailing Address
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Address Line | 915 WEST MICHIGAN STREET OCCUPATIONAL HEALTH
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City | SIDNEY
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State | OH
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Zip | 45365-2491
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Country | US
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Telephone | 937-498-5545
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Fax | 937-498-5544
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Authorized Official
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Title or Position | CNP
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Name | DOROTHY MARIE GARIETY
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Credential | FAMILY NURSE PRACTIT
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Telephone | 937-498-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | NP-06444
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License Number State | OH
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