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General NPI Number Information
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NPI Number | 1629235023
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Entity Type | Organization
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Legal Business Name | COVINGTON COUNTY HOSPITAL
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 701 S HOLLY AVE
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City | COLLINS
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State | MS
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Zip | 39428-3894
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Country | US
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Telephone | 601-765-3180
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Fax | 601-765-2808
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Provider Business Mailing Address
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Address Line | P.O. BOX 2499
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City | COLLINS
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State | MS
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Zip | 39428-2499
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Country | US
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Telephone | 601-765-3180
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Fax | 601-765-2808
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Authorized Official
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Title or Position | PFS DIRECTOR
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Name | MR. CHAS PIERCE
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Credential |
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Telephone | 601-423-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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