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General NPI Number Information
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NPI Number | 1730805136
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Entity Type | Organization
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Legal Business Name | NEVADA CITY HOSPITAL
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 900 S ADAMS ST
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City | NEVADA
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State | MO
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Zip | 64772-3210
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Country | US
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Telephone | 417-667-6015
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Fax | 417-667-4234
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Provider Business Mailing Address
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Address Line | 800 S ASH ST
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City | NEVADA
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State | MO
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Zip | 64772-3224
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Country | US
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Telephone | 417-667-3355
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Fax | 417-448-3848
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Authorized Official
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Title or Position | CEO/AUTHORIZED OFFICIAL
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Name | JASON ANGLIN
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Credential |
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Telephone | 417-448-3626
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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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