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General NPI Number Information
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NPI Number | 1669776795
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Entity Type | Organization
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Legal Business Name | OUR LADY OF BELLEFONTE HOSPITAL INC
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 118 SAINT CHRISTOPHER DR
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City | ASHLAND
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State | KY
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Zip | 41101-7016
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Country | US
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Telephone | 606-833-6241
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Fax | 606-833-3998
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Provider Business Mailing Address
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Address Line | 1000 SAINT CHRISTOPHER DR
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City | ASHLAND
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State | KY
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Zip | 41101-7034
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Country | US
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Telephone | 606-833-3333
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Fax | 606-833-3998
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KEVIN B HALTER
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Credential | FACHE
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Telephone | 606-833-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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