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General NPI Number Information
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NPI Number | 1720292980
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Entity Type | Organization
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Legal Business Name | WAYNE COUNTY HOSPITAL, INC.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 166 HOSPITAL STREET
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City | MONTICELLO
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State | KY
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Zip | 42633
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Country | US
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Telephone | 606-348-9343
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Fax | 606-348-0333
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Provider Business Mailing Address
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Address Line | 166 HOSPITAL STREET
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City | MONTICELLO
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State | KY
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Zip | 42633
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Country | US
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Telephone | 606-348-9343
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Fax | 606-348-0333
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN OSBORNE
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Credential |
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Telephone | 606-348-9343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 600074
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License Number State | KY
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