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General NPI Number Information
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NPI Number | 1316310535
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Entity Type | Organization
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Legal Business Name | FRANCISCAN PHYSICIAN NETWORK
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 2001 US HIGHWAY 41
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City | SCHERERVILLE
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State | IN
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Zip | 46375-2892
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Country | US
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Telephone | 219-365-0970
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Fax | 219-365-1830
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Provider Business Mailing Address
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Address Line | PO BOX 781076
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City | DETROIT
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State | MI
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Zip | 48278-1076
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONNA PHALEN
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Credential |
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Telephone | 219-554-4548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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