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General NPI Number Information
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NPI Number | 1639131535
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Entity Type | Organization
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Legal Business Name | SALEM COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 1995 EAST STATE STREET
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City | SALEM
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State | OH
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Zip | 44460
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Country | US
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Telephone | 330-332-7670
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Fax | 330-332-7476
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Provider Business Mailing Address
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Address Line | 1995 EAST STATE STREET
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City | SALEM
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State | OH
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Zip | 44460
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Country | US
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Telephone | 330-332-7670
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Fax | 330-332-7476
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ANITA A HACKSTEDDE
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Credential | M.D.
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Telephone | 330-332-7214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1125
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License Number State | OH
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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 |
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License Number State |
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