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General NPI Number Information
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NPI Number | 1508198409
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Entity Type | Organization
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Legal Business Name | HENDRICKS COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 1411 S GREEN ST STE 220
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City | BROWNSBURG
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State | IN
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Zip | 46112-2048
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Country | US
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Telephone | 317-838-9355
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Fax | 317-852-2473
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Provider Business Mailing Address
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Address Line | 1411 S GREEN ST STE 220
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City | BROWNSBURG
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State | IN
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Zip | 46112-2048
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Country | US
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Telephone | 317-838-9355
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Fax | 317-852-2473
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Authorized Official
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Title or Position | DIRECTOR
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Name | ERIN RUMLEY
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Credential |
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Telephone | 314-838-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | 090050051
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License Number State | IN
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