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General NPI Number Information
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NPI Number | 1750619045
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Entity Type | Organization
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Legal Business Name | JENNIE STUART MEDICAL CENTER
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 320 W 18TH ST
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1965
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Country | US
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Telephone | 270-887-0100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2400
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City | HOPKINSVILLE
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State | KY
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Zip | 42241-2400
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Country | US
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Telephone | 270-887-0100
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Fax | 270-887-0342
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ERIC A LEE
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Credential |
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Telephone | 270-887-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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