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General NPI Number Information
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NPI Number | 1942256888
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Entity Type | Organization
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Legal Business Name | HOLZER HOSPITAL FOUNDATION
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 100 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 740-446-5051
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Fax | 740-446-5522
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Provider Business Mailing Address
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Address Line | 100 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 740-446-5051
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Fax | 740-446-5522
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL R CANADY
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Credential | MD
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Telephone | 740-446-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State | OH
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