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General NPI Number Information
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NPI Number | 1174630594
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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 | 08/23/2006
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 370 E MAIN ST
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City | ROSSVILLE
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State | IN
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Zip | 46065-9461
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Country | US
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Telephone | 765-379-2112
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Fax | 765-379-2942
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Provider Business Mailing Address
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Address Line | 370 E MAIN ST
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City | ROSSVILLE
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State | IN
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Zip | 46065-9461
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Country | US
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Telephone | 765-379-2112
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Fax | 765-379-2942
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JOHN M HORNER
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Credential |
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Telephone | 371-398-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 050002991
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 13-000299-1
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License Number State | IN
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