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General NPI Number Information
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NPI Number | 1326091836
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPITALS OF INDIANA INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 45 N MADISON AVE
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City | GREENWOOD
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State | IN
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Zip | 46142-3526
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Country | US
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Telephone | 317-887-7624
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Fax | 317-887-7625
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Provider Business Mailing Address
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Address Line | 45 N MADISON AVE
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City | GREENWOOD
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State | IN
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Zip | 46142-3526
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Country | US
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Telephone | 317-887-7624
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Fax | 317-887-7625
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Authorized Official
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Title or Position | CFO
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Name | JEFFERY KIRKHAM
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Credential |
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Telephone | 317-355-5822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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