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General NPI Number Information
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NPI Number | 1922577428
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Entity Type | Organization
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Legal Business Name | TAYLOR REGIONAL HOSPITAL
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 222 PERRY HWY STE 205
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-6748
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Country | US
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Telephone | 478-783-4075
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Fax | 478-783-3377
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Provider Business Mailing Address
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Address Line | PO BOX 1297
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-7297
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Country | US
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Telephone | 478-783-0200
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Fax | 478-783-3730
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | ANN RYCROFT
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Credential |
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Telephone | 478-783-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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