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General NPI Number Information
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NPI Number | 1629705389
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Entity Type | Organization
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Legal Business Name | PERRY COUNTY COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 2718 SQUIRREL HOLLOW DR
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City | LINDEN
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State | TN
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Zip | 37096-3526
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Country | US
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Telephone | 407-948-9306
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 SQUIRREL HOLLOW DR
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City | LINDEN
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State | TN
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Zip | 37096-3526
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Country | US
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Telephone | 407-948-9306
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LILIAN THEREZINHA ALEVATO
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Credential | MD
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Telephone | 407-232-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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