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General NPI Number Information
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NPI Number | 1962059741
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Entity Type | Organization
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Legal Business Name | HOCKING VALLEY COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 1383 W HUNTER ST
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City | LOGAN
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State | OH
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Zip | 43138-1013
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Country | US
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Telephone | 740-385-0202
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Fax | 740-380-2734
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Provider Business Mailing Address
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Address Line | PO BOX 966
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City | LOGAN
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State | OH
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Zip | 43138-0966
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Country | US
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Telephone | 740-380-8000
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Fax | 740-385-7458
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Authorized Official
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Title or Position | CFO
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Name | JULIE E GROW
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Credential |
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Telephone | 740-380-8310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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