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General NPI Number Information
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NPI Number | 1518924752
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Entity Type | Organization
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Legal Business Name | LAIRD HOSPITAL, INC.
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 25117 HIGHWAY 15
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City | UNION
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State | MS
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Zip | 39365-9088
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Country | US
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Telephone | 601-774-8214
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Fax | 601-774-5401
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Provider Business Mailing Address
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Address Line | DEPT 3021 PO BOX 1000
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City | MEMPHIS
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State | TN
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Zip | 38148
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Country | US
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Telephone | 601-213-3010
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Fax | 601-213-3011
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Authorized Official
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Title or Position | REGIONAL CEO
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Name | DON LARKIN KENNEDY
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Credential |
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Telephone | 601-703-9614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 13-310
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License Number State | MS
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