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General NPI Number Information
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NPI Number | 1912721200
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Entity Type | Organization
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Legal Business Name | MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 312 NW MARION STREET
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City | MADISON
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State | FL
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Zip | 32340
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Country | US
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Telephone | 850-253-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 224 NW CRANE AVE
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City | MADISON
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State | FL
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Zip | 32340-1400
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Country | US
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Telephone | 850-253-1924
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | SCOTT RICHARDSON
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Credential |
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Telephone | 850-253-1924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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