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General NPI Number Information
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NPI Number | 1679559983
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Entity Type | Organization
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Legal Business Name | WAYNE GENERAL HOSPITAL
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 950 MATTHEW DR
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City | WAYNESBORO
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State | MS
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Zip | 39367-2567
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Country | US
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Telephone | 601-735-5151
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Fax | 601-735-7168
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Provider Business Mailing Address
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Address Line | 950 MATTHEW DR
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City | WAYNESBORO
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State | MS
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Zip | 39367-2567
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Country | US
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Telephone | 601-735-5151
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Fax | 601-735-7168
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KATHY WADDELL
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Credential |
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Telephone | 601-735-5151
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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 | 11288
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License Number State | MS
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