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General NPI Number Information
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NPI Number | 1316957814
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Entity Type | Organization
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Legal Business Name | HANCOCK REGIONAL HOSPITAL
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 MEMORIAL SQ STE 100
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City | GREENFIELD
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State | IN
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Zip | 46140-2819
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Country | US
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Telephone | 317-462-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 156 W MUSKEGON DR
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City | GREENFIELD
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State | IN
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Zip | 46140-3069
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Country | US
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Telephone | 317-468-6221
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Fax | 317-468-6267
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Authorized Official
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Title or Position | CONTROLLER
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Name | BRIAN MUCKERHEIDE
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Credential |
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Telephone | 317-468-6236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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