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General NPI Number Information
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NPI Number | 1487977872
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Entity Type | Organization
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Legal Business Name | HARDIN COUNTY GENERAL HOSPITAL
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 935 WAYNE RD
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City | SAVANNAH
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State | TN
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Zip | 38372-1937
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Country | US
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Telephone | 731-926-8177
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Fax | 731-926-8455
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Provider Business Mailing Address
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Address Line | 935 WAYNE RD
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City | SAVANNAH
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State | TN
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Zip | 38372-1937
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Country | US
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Telephone | 731-926-8177
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Fax | 731-926-8455
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS P. LEWIS
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Credential |
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Telephone | 731-926-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 9976
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License Number State | TN
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