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General NPI Number Information
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NPI Number | 1538877337
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Entity Type | Organization
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Legal Business Name | THE HOSPITAL AUTHORITY OF MILLER COUNTY
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 209 N CUTHBERT ST
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City | COLQUITT
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State | GA
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Zip | 39837-3518
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Country | US
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Telephone | 229-758-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 209 N CUTHBERT STREET PO BOX 7
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City | COLQUITT
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State | GA
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Zip | 39837
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Country | US
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Telephone | 229-758-4212
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | CRISSA P SHAW
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Credential |
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Telephone | 229-758-4212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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