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General NPI Number Information
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NPI Number | 1144603382
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH MUNSTER
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7905 CALUMET AVE STE 1020
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City | MUNSTER
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State | IN
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Zip | 46321-2549
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Country | US
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Telephone | 219-852-1521
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Fax | 219-852-1522
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Provider Business Mailing Address
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Address Line | 7905 CALUMET AVE STE 1020
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City | MUNSTER
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State | IN
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Zip | 46321-2549
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Country | US
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Telephone | 219-852-1521
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Fax | 219-852-1522
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | RAYMOND GRADY
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Credential |
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Telephone | 219-922-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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