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General NPI Number Information
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NPI Number | 1164538740
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Entity Type | Organization
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Legal Business Name | THE BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 3611 S REED RD SUITE 103
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City | KOKOMO
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State | IN
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Zip | 46902-3828
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Country | US
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Telephone | 765-864-5786
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Fax | 765-864-5787
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Provider Business Mailing Address
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Address Line | PO BOX 7101
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City | INDIANAPOLIS
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State | IN
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Zip | 46207-7101
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Country | US
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Telephone | 765-864-5786
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Fax | 765-864-5787
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | THEODORE T BROWN
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Credential |
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Telephone | 765-453-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 01033570A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 01058072A
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License Number State | IN
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