Hospital(s) Affiliation Information |
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Hospital Affiliation CCN 1
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041322
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Medicare CCN of hospital where individual professional provides service 1
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Hospital Affiliation LBN 1
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FULTON COUNTY HOSPITAL
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Legal business name of hospital where individual professional provides service 1
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Hospital Affiliation CCN 2
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040027
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Medicare CCN of hospital where individual professional provides service 2
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Hospital Affiliation LBN 2
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BAXTER REGIONAL MEDICAL CENTER
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Legal business name of hospital where individual professional provides service 2
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Hospital Affiliation CCN 3
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040119
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Medicare CCN of hospital where individual professional provides service 3
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Hospital Affiliation LBN 3
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WHITE RIVER MEDICAL CENTER
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Legal business name of hospital where individual professional provides service 3
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Professional Accepts Medicare Assignment
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Y
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