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General NPI Number Information
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NPI Number | 1841325545
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Entity Type | Organization
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Legal Business Name | NESHOBA COUNTY GENERAL HOSPITAL
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 1001 HOLLAND AVE
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2161
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Country | US
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Telephone | 601-663-1200
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Fax | 601-663-1236
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Provider Business Mailing Address
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Address Line | 1001 HOLLAND AVE
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2161
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Country | US
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Telephone | 601-663-1200
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Fax | 601-663-1236
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROGER COLE
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Credential |
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Telephone | 601-663-1445
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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 | 177
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License Number State | MS
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