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General NPI Number Information
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NPI Number | 1023308616
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Entity Type | Organization
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Legal Business Name | CARROLL COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 101 W MAIN ST SUITE 101
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City | DELPHI
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State | IN
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Zip | 46923-1566
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Country | US
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Telephone | 765-564-3420
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Fax | 765-564-6161
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Provider Business Mailing Address
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Address Line | 101 W MAIN ST SUITE 101
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City | DELPHI
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State | IN
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Zip | 46923-1566
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Country | US
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Telephone | 765-564-3420
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Fax | 765-564-6161
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. JORDAN LEE DUTTER
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Credential | MD
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Telephone | 574-765-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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