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General NPI Number Information
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NPI Number | 1104927664
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Entity Type | Organization
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Legal Business Name | ST JOSEPH'S HOSPITAL OF HUNTINGBURG IN
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 MEDICAL ARTS DR
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City | HUNTINGBURG
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State | IN
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Zip | 47542-9521
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Country | US
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Telephone | 812-683-2121
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Fax | 812-683-6485
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Provider Business Mailing Address
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Address Line | 1900 MEDICAL ARTS DR
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City | HUNTINGBURG
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State | IN
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Zip | 47542-9521
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Country | US
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Telephone | 812-683-2121
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Fax | 812-683-6485
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN FAULKNER
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Credential |
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Telephone | 812-683-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | IN
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