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General NPI Number Information
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NPI Number | 1225212475
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Entity Type | Organization
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Legal Business Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 7833 W. JEFFERSON BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46804
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Country | US
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Telephone | 260-432-4848
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Fax | 260-432-2828
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Provider Business Mailing Address
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Address Line | 7833 W. JEFFERSON BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46804
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Country | US
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Telephone | 260-432-4848
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Fax | 260-432-2828
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Authorized Official
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Title or Position | VP FIELD ACCOUNTING
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Name | SHERRI L HAMPTON
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Credential |
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Telephone | 317-788-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 09-005846-1
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License Number State | IN
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