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General NPI Number Information
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NPI Number | 1073427779
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Entity Type | Organization
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Legal Business Name | DEACONESS HOSPITAL INC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 7851 S PROFESSIONAL DR
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City | FORT BRANCH
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State | IN
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Zip | 47648-8405
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Country | US
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Telephone | 812-471-4611
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Fax | 812-471-4643
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Provider Business Mailing Address
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Address Line | PO BOX 632281
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City | CINCINNATI
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State | OH
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Zip | 45263-2281
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | CHRISTIE ANN HORNBY
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Credential |
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Telephone | 812-450-7143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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