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General NPI Number Information
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NPI Number | 1639406267
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Entity Type | Organization
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Legal Business Name | FLORENCE HOSPITAL, LLC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 1300 E STATE ST SUITE 102
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City | EAGLE
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State | ID
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Zip | 83616-7059
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Country | US
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Telephone | 520-494-3237
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Fax | 520-868-3329
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Provider Business Mailing Address
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Address Line | 1300 E STATE ST SUITE 102
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City | EAGLE
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State | ID
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Zip | 83616-7059
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Country | US
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Telephone | 520-494-3237
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Fax | 520-868-3329
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. STEPHEN R HUEY
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Credential |
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Telephone | 520-494-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | APPLIED FOR
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License Number State | AZ
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