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General NPI Number Information
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NPI Number | 1437645587
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Entity Type | Organization
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Legal Business Name | REHABILITATION HOSPITAL OF INDIANA, INC.
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 4141 SHORE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-2607
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Country | US
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Telephone | 317-329-2236
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Fax |
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Provider Business Mailing Address
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Address Line | 4141 SHORE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-2607
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Country | US
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Telephone | 317-329-2236
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY AND ANCILLARY
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Name | MARY ESCALANTE
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Credential |
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Telephone | 317-329-2236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 60006675A
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License Number State | IN
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