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General NPI Number Information
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NPI Number | 1366830259
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Entity Type | Organization
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Legal Business Name | DEACONESS HOSPITAL, INC.
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 2309 W FRANKLIN ST
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City | EVANSVILLE
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State | IN
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Zip | 47712-5118
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Country | US
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Telephone | 812-421-9112
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Fax | 812-421-9132
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Provider Business Mailing Address
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Address Line | 600 ARY ST
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City | EVANSVILLE
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State | IN
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Zip | 47747-0001
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Country | US
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Telephone | 812-450-4673
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Fax | 812-450-4665
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LINDA E WHITE
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Credential | RN
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Telephone | 812-450-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 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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