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General NPI Number Information
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NPI Number | 1891761300
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Entity Type | Organization
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Legal Business Name | JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 704 COLUMBIA HWY
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City | GREENSBURG
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State | KY
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Zip | 42743-1118
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Country | US
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Telephone | 270-932-5355
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Fax | 270-932-5590
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Provider Business Mailing Address
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Address Line | 704 COLUMBIA HWY
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City | GREENSBURG
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State | KY
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Zip | 42743-1118
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Country | US
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Telephone | 270-932-5355
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Fax | 270-932-5590
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Authorized Official
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Title or Position | CEO ADMINISTRATOR
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Name | MR. REX A TUNGATE
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Credential |
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Telephone | 270-932-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 900193
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License Number State | KY
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