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General NPI Number Information
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NPI Number | 1336571538
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Entity Type | Organization
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Legal Business Name | WABASH COUNTY HOSPITAL INC
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 710 N EAST ST
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City | WABASH
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State | IN
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Zip | 46992-1914
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Country | US
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Telephone | 260-563-3131
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Fax | 260-569-2410
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Provider Business Mailing Address
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Address Line | 710 N EAST ST
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City | WABASH
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State | IN
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Zip | 46992-1914
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Country | US
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Telephone | 260-563-3131
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Fax | 260-569-2410
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Authorized Official
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Title or Position | CFO
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Name | MRS. JANE MARIE BISSEL
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Credential |
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Telephone | 260-569-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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