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General NPI Number Information
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NPI Number | 1508877697
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Entity Type | Organization
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Legal Business Name | PIGGOTT COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 210 E MAIN ST
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City | PIGGOTT
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State | AR
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Zip | 72454-2725
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Country | US
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Telephone | 870-598-3881
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Fax | 870-598-5915
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Provider Business Mailing Address
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Address Line | 1206 GORDON DUCKWORTH DR
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City | PIGGOTT
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State | AR
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Zip | 72454-1911
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Country | US
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Telephone | 870-598-3881
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Fax | 870-598-5915
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES L MAGEE
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Credential |
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Telephone | 870-598-3881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 9947
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | MG00327
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License Number State | AR
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