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General NPI Number Information
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NPI Number | 1619922283
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Entity Type | Organization
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Legal Business Name | NATCHEZ COMMUNITY HOSPITAL LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 129 JEFFERSON DAVIS BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-5103
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Country | US
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Telephone | 601-445-6205
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Fax | 601-445-6233
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Provider Business Mailing Address
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Address Line | 129 JEFFERSON DAVIS BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-5103
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Country | US
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Telephone | 601-445-6205
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Fax | 601-445-6233
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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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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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 12271
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License Number State | MS
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