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General NPI Number Information
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NPI Number | 1568419166
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Entity Type | Organization
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Legal Business Name | QUITMAN COUNTY HOSPITAL, LLC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 340 GETWELL ST
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City | MARKS
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State | MS
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Zip | 38646-9785
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Country | US
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Telephone | 662-326-8031
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Fax | 662-326-8478
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Provider Business Mailing Address
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Address Line | 340 GETWELL ST
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City | MARKS
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State | MS
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Zip | 38646-9785
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Country | US
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Telephone | 662-326-8031
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Fax | 662-326-8478
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Authorized Official
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Title or Position | CFO
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Name | MRS. JANE MOORE
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Credential |
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Telephone | 662-326-8031
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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 | 16-291
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License Number State | MS
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