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General NPI Number Information
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NPI Number | 1043880602
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Entity Type | Organization
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Legal Business Name | CAMERON MEMORIAL COMMUNITY HOSPITAL INC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 401 S BROAD ST
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City | FREMONT
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State | IN
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Zip | 46737-2114
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Country | US
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Telephone | 260-667-5685
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Fax | 260-495-3621
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Provider Business Mailing Address
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Address Line | 416 E MAUMEE ST
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City | ANGOLA
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State | IN
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Zip | 46703-2015
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Country | US
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Telephone | 260-667-5685
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Fax | 260-495-3621
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Authorized Official
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Title or Position | CEO
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Name | ANGELA M LOGAN
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Credential |
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Telephone | 260-667-5735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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