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General NPI Number Information
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NPI Number | 1467406074
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH REGIONAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 60101 BODNAR BLVD STE 100B
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City | MISHAWAKA
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State | IN
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Zip | 46544-9340
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Country | US
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Telephone | 574-335-8500
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Fax | 574-335-0794
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Provider Business Mailing Address
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Address Line | 5215 HOLY CROSS PKWY PROVIDER SERVICES-ENROLLMENT
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City | MISHAWAKA
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State | IN
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Zip | 46545-1469
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER JAMES KARAM
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Credential |
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Telephone | 574-335-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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