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General NPI Number Information
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NPI Number | 1477800373
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Entity Type | Organization
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Legal Business Name | SAINT PETER'S LUTHERAN CHURCH
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 927 4TH ST
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City | COLUMBUS
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State | IN
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Zip | 47201-6824
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Country | US
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Telephone | 812-799-3530
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Fax |
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Provider Business Mailing Address
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Address Line | 719 5TH ST
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City | COLUMBUS
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State | IN
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Zip | 47201-6306
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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 | EXECUTIVE DIRECTOR
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Name | JANICE KIEL
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Credential |
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Telephone | 812-799-3530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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