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General NPI Number Information
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NPI Number | 1952544389
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI COUNTY HOSPITAL SYSTEM
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 611 W LEE AVE
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City | OSCEOLA
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State | AR
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Zip | 72370-3001
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Country | US
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Telephone | 870-838-7445
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Fax | 870-838-7492
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Provider Business Mailing Address
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Address Line | PO BOX 108
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City | BLYTHEVILLE
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State | AR
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Zip | 72316-0108
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Country | US
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Telephone | 870-838-7445
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Fax | 870-838-7492
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Authorized Official
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Title or Position | CONTROLLER
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Name | DENIS MILLER
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Credential |
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Telephone | 870-838-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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