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General NPI Number Information
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NPI Number | 1487048278
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Entity Type | Organization
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Legal Business Name | MCCULLOUGH-HYDE HOSPITAL
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 5151 MORNING SUN RD SUITE E
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City | OXFORD
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State | OH
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Zip | 45056-9545
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Country | US
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Telephone | 513-664-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 5151 MORNING SUN RD SUITE E
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City | OXFORD
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State | OH
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Zip | 45056-9545
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Country | US
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Telephone | 513-664-3801
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICAL THERAPY
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Name | MR. MARK CRISTELL
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Credential | PT, DPT, OCS
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Telephone | 513-664-3801
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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 | 7317
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License Number State | OH
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