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General NPI Number Information
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NPI Number | 1467826073
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Entity Type | Organization
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Legal Business Name | MISSION HOSPITAL INC
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 11 VANDERBILT PARK DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-1700
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Country | US
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Telephone | 828-213-0022
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Fax | 828-213-0039
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Provider Business Mailing Address
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Address Line | PO BOX 602373
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City | CHARLOTTE
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State | NC
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Zip | 28260-2373
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Country | US
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Telephone | 828-213-1500
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Fax | 828-681-6570
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | WILLIAM R HATHAWAY
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Credential | MD
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Telephone | 828-213-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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License Number State |
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