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General NPI Number Information
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NPI Number | 1922079532
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Entity Type | Organization
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Legal Business Name | H.B. MAGRUDER MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 615 FULTON ST
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City | PORT CLINTON
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State | OH
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Zip | 43452-2001
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Country | US
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Telephone | 419-734-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 615 FULTON ST
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City | PORT CLINTON
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State | OH
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Zip | 43452-2001
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Country | US
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Telephone | 419-734-3131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | NICK MARSICO
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Credential |
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Telephone | 419-734-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1252
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License Number State | OH
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