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General NPI Number Information
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NPI Number | 1265602171
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Entity Type | Organization
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Legal Business Name | VIGO COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 696 S 1ST ST
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City | TERRE HAUTE
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State | IN
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Zip | 47807-4643
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Country | US
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Telephone | 812-462-3431
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Fax | 812-231-6242
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Provider Business Mailing Address
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Address Line | 147 OAK ST
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City | TERRE HAUTE
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State | IN
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Zip | 47807-3438
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Country | US
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Telephone | 812-462-3428
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Fax | 812-234-1010
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. DARREN C BRUCKEN
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Credential | M.D.
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Telephone | 812-462-3431
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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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