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General NPI Number Information
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NPI Number | 1154766707
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Entity Type | Organization
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Legal Business Name | ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 8401 HARCOURT RD SUITE 3011
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2036
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Country | US
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Telephone | 317-338-4803
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 JACKSON ST
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City | ANDERSON
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State | IN
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Zip | 46016-4337
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DONALD APPLE
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Credential |
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Telephone | 765-656-8132
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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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