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General NPI Number Information
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NPI Number | 1033115605
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Entity Type | Organization
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Legal Business Name | SELECT SPECIALTY HOSPITAL - BEECH GROVE INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 8060 KNUE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1976
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Country | US
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Telephone | 317-783-8731
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Fax | 317-783-8989
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Provider Business Mailing Address
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Address Line | 4714 GETTYSBURG RD LEGAL DEPT.
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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Country | US
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Telephone | 717-972-1100
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Fax | 717-975-9981
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL E. TARVIN
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Credential |
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Telephone | 717-972-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 008900
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License Number State | IN
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