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General NPI Number Information
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NPI Number | 1598964637
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Entity Type | Organization
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Legal Business Name | PURCELL MUNICIPAL HOSPITAL
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 504 WILLIAMS STREET
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City | MAYSVILLE
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State | OK
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Zip | 73057-0660
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Country | US
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Telephone | 405-867-4404
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Fax | 405-867-4520
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Provider Business Mailing Address
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Address Line | 504 WILLIAMS STREET P.O. BOX 660
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City | MAYSVILLE
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State | OK
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Zip | 73057-0660
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Country | US
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Telephone | 405-867-4404
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Fax | 405-867-4520
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES T BERRY
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Credential |
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Telephone | 405-527-6524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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