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General NPI Number Information
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NPI Number | 1508255019
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Entity Type | Organization
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Legal Business Name | BATTLE MOUNTAIN GENERAL HOSPITAL
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 99 TOIYABE RD
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City | KINGSTON
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State | NV
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Zip | 89310
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Country | US
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Telephone | 775-964-1232
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Fax | 775-964-1238
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Provider Business Mailing Address
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Address Line | HC 65 BOX 102
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City | AUSTIN
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State | NV
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Zip | 89310-9105
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Country | US
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Telephone | 775-964-1232
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Fax | 775-964-1238
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Authorized Official
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Title or Position | CEO
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Name | MR. JASON BLEAK
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Credential |
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Telephone | 775-635-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | NV20111774100
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License Number State | NV
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