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General NPI Number Information
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NPI Number | 1982837985
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Entity Type | Organization
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Legal Business Name | ADAIR COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 902 WESTLAKE DR SUITE 107
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City | COLUMBIA
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State | KY
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Zip | 42728-1149
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Country | US
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Telephone | 270-384-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 902 WESTLAKE DR SUITE 107
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City | COLUMBIA
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State | KY
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Zip | 42728-1149
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Country | US
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Telephone | 270-384-6477
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | REX A. TUNGATE
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Credential | CEO
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Telephone | 270-384-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35724
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License Number State | KY
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