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General NPI Number Information
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NPI Number | 1699862953
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Entity Type | Organization
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Legal Business Name | TAYLOR REGIONAL HOSPITAL
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 222 PERRY HIGHWAY
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-6738
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Country | US
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Telephone | 478-783-0292
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Fax | 478-892-8116
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Provider Business Mailing Address
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Address Line | P.O. BOX 1297 222 PERRY HIGHWAY
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-6738
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Country | US
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Telephone | 478-783-0292
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Fax | 478-892-8116
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Authorized Official
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Title or Position | INTERIM CEO
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Name | DR. EUGENE R. MCDANNALD JR.
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Credential | M.D.
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Telephone | 478-783-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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