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General NPI Number Information
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NPI Number | 1710592019
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Entity Type | Organization
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Legal Business Name | MARION REGIONAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 1256 MILITARY ST S
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City | HAMILTON
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State | AL
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Zip | 35570-5003
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Country | US
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Telephone | 205-921-6496
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Fax | 205-921-6390
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Provider Business Mailing Address
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Address Line | 456 E PRESIDENT AVE
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City | TUPELO
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State | MS
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Zip | 38801-5515
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Country | US
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Telephone | 662-377-4685
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Fax |
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Authorized Official
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Title or Position | REIMBURSEMENT MANAGER
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Name | DEBBIE GALE HALLMARK
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Credential |
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Telephone | 662-377-5186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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