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General NPI Number Information
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NPI Number | 1386104594
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Entity Type | Organization
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Legal Business Name | DAVIESS COUNTY HOSPITAL
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 01/02/2021
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Provider Practice Location Address
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Address Line | 1314 E WALNUT ST
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City | WASHINGTON
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State | IN
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Zip | 47501-2860
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Country | US
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Telephone | 812-254-2760
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax | 812-473-5822
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | CHASTITY LYNNE BARKER
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Credential |
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Telephone | 812-254-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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