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General NPI Number Information
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NPI Number | 1790419885
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Entity Type | Organization
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Legal Business Name | ROCK REGIONAL HOSPITAL, LLC
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 606 N MULBERRY RD
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City | DERBY
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State | KS
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Zip | 67037-3532
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Country | US
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Telephone | 307-257-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 3251 N ROCK RD
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City | DERBY
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State | KS
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Zip | 67037-3850
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Country | US
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Telephone | 307-257-0306
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Fax | 316-425-2401
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | KRISTA JEANNETTE COPPING
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Credential |
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Telephone | 316-425-2416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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