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General NPI Number Information
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NPI Number | 1720701147
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Entity Type | Organization
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Legal Business Name | ASHALND HOSPITAL CORPORATION
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 1901 ARGONNE RD
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2827
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Country | US
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Telephone | 740-991-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | ASHLAND
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State | KY
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Zip | 41105-1595
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6612
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | SARA MARKS
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Credential |
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Telephone | 606-408-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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