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General NPI Number Information
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NPI Number | 1184650889
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Entity Type | Organization
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Legal Business Name | FRANCISCAN ST. FRANCIS HEALTH
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 234 EAST SOUTHERN AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46225-2121
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Country | US
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Telephone | 317-781-9669
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Fax | 317-781-0470
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DRIVE SUITE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7241
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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Authorized Official
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Title or Position | DIRECTOR, ABO, FRANCISCAN ALLIANCE
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Name | MR. BRAD JOUBERT
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Credential |
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Telephone | 317-528-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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