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General NPI Number Information
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NPI Number | 1063622546
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Entity Type | Organization
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Legal Business Name | GIBSON GENERAL HOSPITAL, INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 1808 SHERMAN DR
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City | PRINCETON
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State | IN
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Zip | 47670
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Country | US
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Telephone | 812-385-9201
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Fax | 812-385-9307
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Provider Business Mailing Address
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Address Line | 1808 SHERMAN DR
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City | PRINCETON
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State | IN
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Zip | 47670-1043
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Country | US
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Telephone | 812-385-9201
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Fax | 812-385-9307
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MRS. DEBRA A SHOULTZ
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Credential |
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Telephone | 812-385-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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