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General NPI Number Information
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NPI Number | 1154725885
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH WEST HOSPITAL, INC
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 1111 RONALD REAGAN PKWY
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City | AVON
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State | IN
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Zip | 46123-7085
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Country | US
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Telephone | 317-217-3037
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Fax | 317-217-3026
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Provider Business Mailing Address
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Address Line | 1111 RONALD REAGAN PKWY
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City | AVON
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State | IN
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Zip | 46123-7085
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Country | US
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Telephone | 317-217-3037
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Fax | 317-217-3026
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Authorized Official
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Title or Position | CEO
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Name | MR. MATTHEW BAILEY
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Credential |
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Telephone | 317-217-3037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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