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General NPI Number Information
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NPI Number | 1184250623
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH CROWN POINT
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 12750 SAINT FRANCIS DR
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City | CROWN POINT
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State | IN
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Zip | 46307-0264
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Country | US
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Telephone | 219-681-6814
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Fax | 219-681-6815
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Provider Business Mailing Address
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Address Line | 12750 SAINT FRANCIS DR
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City | CROWN POINT
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State | IN
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Zip | 46307-0264
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Country | US
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Telephone | 219-681-6814
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Fax | 219-681-6815
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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 | 219-757-6104
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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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