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General NPI Number Information
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NPI Number | 1720018971
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Entity Type | Organization
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Legal Business Name | PIKE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 100 DAWN LANE
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City | WAVERLY
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State | OH
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Zip | 45690-9138
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Country | US
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Telephone | 740-947-2186
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Fax | 740-947-6538
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Provider Business Mailing Address
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Address Line | 272 HOSPITAL RD SUITE 3
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9031
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Country | US
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Telephone | 740-779-4460
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Fax | 740-779-4257
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Authorized Official
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Title or Position | VICE PRESIDENT FOR SYSTEM FINANCE
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Name | JEFFREY GARDNER CRAFT
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Credential |
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Telephone | 740-779-4481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1299
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1299
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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