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General NPI Number Information
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NPI Number | 1467520650
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Entity Type | Organization
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Legal Business Name | CLINTON AND HICKMAN COUNTY HOSPITAL, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 366 S WASHINGTON ST
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City | CLINTON
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State | KY
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Zip | 42031-1324
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Country | US
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Telephone | 270-653-2461
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Fax | 270-653-4162
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Provider Business Mailing Address
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Address Line | 366 S WASHINGTON ST
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City | CLINTON
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State | KY
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Zip | 42031-1324
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Country | US
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Telephone | 270-653-2461
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Fax | 270-653-4162
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Authorized Official
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Title or Position | ADMINISTRAOT
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Name | MR. WILLIAM B. LITTLE
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Credential | ADMINISTRATOR
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Telephone | 270-653-2461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100180
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License Number State | KY
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