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General NPI Number Information
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NPI Number | 1073917043
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Entity Type | Organization
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Legal Business Name | ST FRANCIS HOSPITAL INC
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 104 INNOVATION DR STE 1050
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City | GREENVILLE
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State | SC
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Zip | 29607-5253
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Country | US
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Telephone | 864-603-6392
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Fax | 864-603-6145
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Provider Business Mailing Address
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Address Line | PO BOX 631098
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City | CINCINNATI
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State | OH
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Zip | 45263-1098
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Country | US
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Telephone | 513-895-2650
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR
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Name | KIMBERLY RALSTON
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Credential |
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Telephone | 419-996-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 15430
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License Number State | SC
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