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General NPI Number Information
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NPI Number | 1790716553
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Entity Type | Organization
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Legal Business Name | SOUTHERN OHIO MEDICAL CENTER
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2201 25TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3259
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Country | US
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Telephone | 740-356-5600
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Fax | 740-353-5956
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Provider Business Mailing Address
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Address Line | 2201 25TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3259
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Country | US
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Telephone | 740-356-7050
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Fax | 740-356-7890
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Authorized Official
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Title or Position | CEO
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Name | MR. BEN GILL
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Credential |
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Telephone | 740-356-8847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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