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General NPI Number Information
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NPI Number | 1356389902
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Entity Type | Organization
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Legal Business Name | MAJOR HOSPITAL
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 3895 S KEYSTONE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-3540
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Country | US
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Telephone | 317-787-5364
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Fax | 317-788-3962
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Provider Business Mailing Address
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Address Line | 3895 S KEYSTONE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-3540
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Country | US
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Telephone | 317-787-5364
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Fax | 765-788-3960
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. JOHN HORNER
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Credential |
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Telephone | 317-398-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 05-000537-3
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License Number State | IN
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