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General NPI Number Information
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NPI Number | 1235202573
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH COMMUNITY HOSPITAL OF MISHAWAKA
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 201 LINCOLN WAY W
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City | MISHAWAKA
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State | IN
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Zip | 46544-1905
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Country | US
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Telephone | 574-252-3699
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Fax | 574-252-3698
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Provider Business Mailing Address
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Address Line | 201 LINCOLN WAY W
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City | MISHAWAKA
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State | IN
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Zip | 46544-1905
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Country | US
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Telephone | 574-252-3699
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Fax | 574-252-3698
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | MR. ROBERT SINK
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Credential |
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Telephone | 574-335-2348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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