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General NPI Number Information
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NPI Number | 1619621075
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Entity Type | Organization
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Legal Business Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 525 BRANSON LANDING BLVD
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City | BRANSON
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State | MO
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Zip | 65616-2052
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Country | US
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Telephone | 417-335-7000
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Fax | 417-269-3876
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Provider Business Mailing Address
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Address Line | PO BOX 650
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City | BRANSON
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State | MO
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Zip | 65615-0650
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Country | US
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Telephone | 417-335-7000
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Fax | 417-334-1505
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. WILLIAM MAHONEY
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Credential |
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Telephone | 417-335-7270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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