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General NPI Number Information
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NPI Number | 1962055863
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTH, INC.
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 1305 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-2783
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Country | US
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Telephone | 812-450-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-2783
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Country | US
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Telephone | 812-450-3784
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAWN MCCOY
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Credential |
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Telephone | 812-450-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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