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General NPI Number Information
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NPI Number | 1629109780
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Entity Type | Organization
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Legal Business Name | HOLZER HOSPITAL FOUNDATION
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 280 PATTONSVILLE RD
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City | JACKSON
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State | OH
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Zip | 45640-9452
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Country | US
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Telephone | 740-395-8870
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Fax | 740-395-8897
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Provider Business Mailing Address
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Address Line | 280 PATTONSVILLE RD
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City | JACKSON
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State | OH
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Zip | 45640-9452
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Country | US
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Telephone | 740-395-8870
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Fax | 740-395-8897
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Authorized Official
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Title or Position | CEO
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Name | MR. RODNEY B STOUT
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Credential | MD
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Telephone | 404-465-5597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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