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General NPI Number Information
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NPI Number | 1457302200
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Entity Type | Organization
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Legal Business Name | GUYAN VALLEY HOSPITAL LLC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 04/20/2014
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Provider Practice Location Address
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Address Line | 396 DINGESS ST
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City | LOGAN
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State | WV
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Zip | 25601-3624
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Country | US
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Telephone | 304-831-1717
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Fax | 304-831-1719
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-4536
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID M. DILL
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Credential |
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Telephone | 615-920-7000
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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 | 54
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License Number State | WV
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