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General NPI Number Information
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NPI Number | 1316307184
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Entity Type | Organization
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Legal Business Name | DECATUR COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 720 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone | 812-663-1250
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Fax | 812-663-1190
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Provider Business Mailing Address
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Address Line | 720 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone | 812-663-1250
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Fax | 812-663-1190
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LINDA SIMMONS
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Credential |
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Telephone | 812-663-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60006562A
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License Number State | IN
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