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General NPI Number Information
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NPI Number | 1982524450
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Entity Type | Organization
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Legal Business Name | MT GRANT GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 825 S MAIN ST
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City | TONOPAH
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State | NV
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Zip | 89049-1599
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Country | US
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Telephone | 775-945-2461
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | HAWTHORNE
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State | NV
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Zip | 89415-1510
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Country | US
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Telephone | 775-945-2461
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | SANDI LEHMAN
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Credential |
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Telephone | 775-945-2461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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