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General NPI Number Information
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NPI Number | 1336623610
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH OLYMPIA FIELDS
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 1203 HADLEY RD STE 210
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City | MOORESVILLE
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State | IN
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Zip | 46158-1886
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Country | US
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Telephone | 317-834-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 16149 CLINTON ST
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City | HARVEY
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State | IL
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Zip | 60426-5908
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Country | US
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Telephone | 800-848-2159
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Fax |
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Authorized Official
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Title or Position | DIVISIONAL CHIEF FINANCIAL OFFICER
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Name | MARK WESSEL
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Credential |
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Telephone | 317-705-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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