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General NPI Number Information
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NPI Number | 1477941862
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Entity Type | Organization
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Legal Business Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 525 BRANSON LANDING BLVD STE 201A
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City | BRANSON
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State | MO
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Zip | 65616-2052
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Country | US
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Telephone | 417-335-7128
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Fax | 417-348-8007
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Provider Business Mailing Address
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Address Line | PO BOX 7411626
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City | CHICAGO
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State | IL
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Zip | 60674-5626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM MAHONEY
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Credential |
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Telephone | 417-335-7270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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