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General NPI Number Information
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NPI Number | 1326969247
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Entity Type | Organization
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Legal Business Name | DEACONESS SPECIALTY PHYSICIANS, INC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 4488 ROSLIN RD
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City | NEWBURGH
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State | IN
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Zip | 47630-8590
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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Provider Business Mailing Address
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Address Line | PO BOX 632111
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City | CINCINNATI
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State | OH
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Zip | 45263-2111
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | CHERYL A WATHEN
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Credential |
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Telephone | 812-450-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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