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General NPI Number Information
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NPI Number | 1114027216
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Entity Type | Organization
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Legal Business Name | OUR HOSPICE OF SOUTH CENTRAL INDIANA, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 2626 17TH ST
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City | COLUMBUS
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State | IN
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Zip | 47201-5417
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Country | US
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Telephone | 812-314-8000
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Fax | 812-314-8153
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Provider Business Mailing Address
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Address Line | 2626 17TH ST
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City | COLUMBUS
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State | IN
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Zip | 47201-5417
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Country | US
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Telephone | 812-314-8000
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Fax | 812-314-8153
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | STEPHANIE CAIN
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Credential |
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Telephone | 812-314-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 050051191
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License Number State | IN
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