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General NPI Number Information
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NPI Number | 1750433389
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Entity Type | Organization
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Legal Business Name | SMYTH COUNTY COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 1152 SNIDER ST
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City | MARION
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State | VA
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Zip | 24354-4216
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Country | US
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Telephone | 276-782-9696
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Fax | 276-782-9886
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Provider Business Mailing Address
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Address Line | 311 PRINCETON RD
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City | JOHNSON CITY
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State | TN
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Zip | 37601-2026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP/CFO
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Name | MARY LYNN KRUTAK
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Credential |
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Telephone | 423-302-3374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TN
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