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General NPI Number Information
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NPI Number | 1043579238
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Entity Type | Organization
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Legal Business Name | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-338-2269
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KYLE DEFUR
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Credential |
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Telephone | 317-338-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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