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General NPI Number Information
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NPI Number | 1073645081
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Entity Type | Organization
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Legal Business Name | HENDRICKS REGIONAL HEALTH
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 1000 E MAIN ST
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City | DANVILLE
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State | IN
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Zip | 46122-1948
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Country | US
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Telephone | 317-745-9531
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Fax | 317-745-9534
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Provider Business Mailing Address
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Address Line | 1000 E MAIN ST
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City | DANVILLE
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State | IN
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Zip | 46122-1948
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Country | US
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Telephone | 317-745-9531
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Fax | 317-745-9534
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Authorized Official
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Title or Position | DIRECTOR
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Name | LYNN E DEVICH
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Credential | MSN, RN
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Telephone | 317-745-7205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 72000117B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 72000005B
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71003410B
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71002313A
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License Number State | IN
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