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NPI 1073826780

NPI 1073826780 : INDIANA UNIVERSITY HEALTH STARKE HOSPITAL LLC : KNOX, IN

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General NPI Number Information
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    NPI Number           |    1073826780
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    Entity Type          |    Organization 
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    Legal Business Name  |    INDIANA UNIVERSITY HEALTH STARKE HOSPITAL LLC 
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Dates
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    Enumeration Date     |    07/22/2010
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    Last Update Date     |    10/13/2011
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Provider Practice Location Address
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    Address Line         |    102 EAST CULVER ROAD 
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    City                 |    KNOX
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    State                |    IN
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    Zip                  |    46534-2216
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    Country              |    US
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    Telephone            |    571-772-6231
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    75 REMIT DRIVE #1243 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60675-1243
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    Country              |    US
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    Telephone            |    866-916-5259
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    Fax                  |    231-922-4030
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     LINDA  SATKOSKI 
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    Credential           |    
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    Telephone            |    866-916-5259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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