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General NPI Number Information
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NPI Number | 1689693293
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Entity Type | Organization
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Legal Business Name | OCOEE HOSPITAL CORPORATION
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2305 CHAMBLISS AVE NW POB 3060
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City | CLEVELAND
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State | TN
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Zip | 37311-3847
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Country | US
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Telephone | 423-559-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 403914
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City | ATLANTA
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State | GA
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Zip | 30384-3914
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VP, GROUP OPERATIONS
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Name | WILLIAM HUSSEY
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Credential |
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Telephone | 888-373-9600
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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 | 0000000031
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License Number State | TN
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