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General NPI Number Information
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NPI Number | 1215095344
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Entity Type | Organization
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Legal Business Name | GIBSON COUNTY AUDITOR
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 203 S PRINCE ST STE A
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City | PRINCETON
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State | IN
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Zip | 47670-2151
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Country | US
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Telephone | 812-385-3831
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Fax | 812-386-8027
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Provider Business Mailing Address
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Address Line | 203 S PRINCE ST STE A
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City | PRINCETON
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State | IN
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Zip | 47670-2151
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Country | US
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Telephone | 812-385-3831
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Fax | 812-386-8027
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JENNIFER LEE TULEY
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Credential | RN
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Telephone | 812-385-3831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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