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General NPI Number Information
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NPI Number | 1043382625
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Entity Type | Organization
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Legal Business Name | WOODLAWN HOSPITAL
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 105 ST RD 14 N
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City | AKRON
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State | IN
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Zip | 46910
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Country | US
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Telephone | 574-598-2020
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Fax | 574-598-2021
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Provider Business Mailing Address
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Address Line | 105 ST RD 14 N
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City | AKRON
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State | IN
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Zip | 46910
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Country | US
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Telephone | 574-598-2020
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Fax | 574-598-2021
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Authorized Official
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Title or Position | CFO
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Name | JOHN KRAFT
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Credential |
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Telephone | 574-224-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71000786A
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License Number State | IN
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