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General NPI Number Information
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NPI Number | 1023556305
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Entity Type | Organization
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Legal Business Name | ST. MARY'S HEALTH, INC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 14020 OLD STATE RD SUITE D100
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City | EVANSVILLE
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State | IN
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Zip | 47725-1164
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Country | US
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Telephone | 812-469-4770
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Fax | 812-469-4794
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Provider Business Mailing Address
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Address Line | 14020 OLD STATE RD SUITE D100
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City | EVANSVILLE
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State | IN
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Zip | 47725-1164
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Country | US
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Telephone | 812-469-4770
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Fax | 812-469-4794
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL PAROD
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Credential |
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Telephone | 812-485-1502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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