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General NPI Number Information
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NPI Number | 1992842942
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Entity Type | Organization
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Legal Business Name | WILSON COUNTY HOSPITAL
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 2600 OTTAWA RD
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City | NEODESHA
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State | KS
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Zip | 66757-1897
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Country | US
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Telephone | 620-325-2611
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Fax | 620-325-8459
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | NEODESHA
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State | KS
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Zip | 66757-0360
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Country | US
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Telephone | 620-325-2611
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Fax | 620-325-8453
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Authorized Official
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Title or Position | CFO
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Name | LORI C SMITH
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Credential |
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Telephone | 620-325-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | H103002
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H103002
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License Number State | KS
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