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General NPI Number Information
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NPI Number | 1275407736
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Entity Type | Organization
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Legal Business Name | ST CATHERINE HOSPITAL INC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 4321 FIR ST
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3049
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Country | US
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Telephone | 219-392-7691
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 FIR ST
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3049
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Country | US
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Telephone | 219-392-7691
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHAR KULLERSTRAND
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Credential |
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Telephone | 219-934-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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