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General NPI Number Information
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NPI Number | 1790781821
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Entity Type | Organization
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Legal Business Name | PIEDMONT HENRY HOSPITAL, INC.
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 1050 HOSPITAL DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7384
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Country | US
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Telephone | 678-604-1600
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Fax | 678-604-1601
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Provider Business Mailing Address
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Address Line | 1050 HOSPITAL DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7384
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Country | US
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Telephone | 678-604-1600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. CHARLES F SCOTT
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Credential |
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Telephone | 678-604-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 10751648
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License Number State | GA
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