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General NPI Number Information
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NPI Number | 1821004268
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Entity Type | Organization
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Legal Business Name | MARION GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1560 SUMRALL RD
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City | COLUMBIA
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State | MS
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Zip | 39429-2654
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Country | US
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Telephone | 601-736-6303
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Fax | 601-740-2244
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Provider Business Mailing Address
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Address Line | 1560 SUMRALL RD
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City | COLUMBIA
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State | MS
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Zip | 39429-2654
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Country | US
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Telephone | 601-736-6303
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Fax | 601-740-2244
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JERRY M. HOWELL
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Credential |
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Telephone | 601-740-2190
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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 | 6981
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License Number State | MS
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