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General NPI Number Information
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NPI Number | 1497883367
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Entity Type | Organization
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Legal Business Name | SCOTT MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 1451 N GARDNER ST
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City | SCOTTSBURG
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State | IN
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Zip | 47170-7751
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Country | US
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Telephone | 812-752-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 N GARDNER ST
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City | SCOTTSBURG
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State | IN
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Zip | 47170-7751
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Country | US
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Telephone | 812-752-8500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CLIFFORD D NAY
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Credential |
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Telephone | 812-752-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 060047781
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License Number State | IN
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