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General NPI Number Information
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NPI Number | 1588992978
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Entity Type | Organization
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Legal Business Name | SOUTHERN INYO HOSPITAL
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 501 E. LOCUST ST.
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City | LONE PINE
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State | CA
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Zip | 93545
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Country | US
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Telephone | 760-876-5501
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Fax | 760-876-4388
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Provider Business Mailing Address
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Address Line | PO BOX 1009
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City | LONE PINE
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State | CA
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Zip | 93545-1009
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Country | US
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Telephone | 760-876-5501
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Fax | 760-876-4388
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Authorized Official
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Title or Position | CEO
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Name | LEE ONA BARRON
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Credential |
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Telephone | 760-876-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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