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General NPI Number Information
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NPI Number | 1861749111
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Entity Type | Organization
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Legal Business Name | FLORENCE ADAMSVILLE HOSPITAL, LLC.
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 450 W ADAMSVILLE RD
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City | FLORENCE
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State | AZ
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Zip | 85132-8582
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Country | US
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Telephone | 520-429-4043
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Fax | 240-252-5668
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Provider Business Mailing Address
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Address Line | PO BOX 2289
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City | FLORENCE
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State | AZ
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Zip | 85132-3043
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Country | US
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Telephone | 520-429-4043
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Fax | 240-252-5668
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Authorized Official
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Title or Position | CEO
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Name | GARY L FAULKNER
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Credential |
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Telephone | 520-429-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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