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General NPI Number Information
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NPI Number | 1902102692
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Entity Type | Organization
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Legal Business Name | OCH REGIONAL HEALTH CLINIC
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 307 HOSPITAL RD
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City | STARKVILLE
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State | MS
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Zip | 39759-2155
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Country | US
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Telephone | 662-615-3821
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Fax | 662-615-3830
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Provider Business Mailing Address
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Address Line | 307 HOSPITAL RD
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City | STARKVILLE
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State | MS
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Zip | 39759-2155
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Country | US
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Telephone | 662-615-3821
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Fax | 662-615-3830
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Authorized Official
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Title or Position | ASSOCIATE ADMINISTRATOR / CFO
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Name | MR. RICHARD G HILTON
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Credential |
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Telephone | 662-615-2503
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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 | 11-269
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License Number State | MS
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