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General NPI Number Information
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NPI Number | 1114930104
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Entity Type | Organization
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Legal Business Name | MAJOR HOSPITAL
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1850 W MATADOR ST
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City | PERU
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State | IN
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Zip | 46970-3711
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Country | US
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Telephone | 765-689-5000
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Fax | 765-689-5711
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Provider Business Mailing Address
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Address Line | 1850 W MATADOR ST
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City | PERU
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State | IN
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Zip | 46970-3711
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Country | US
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Telephone | 765-689-5000
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Fax | 765-689-5711
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | RYAN CLAXTON
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Credential |
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Telephone | 317-392-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 003130
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 14-003130-1
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License Number State | IN
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