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General NPI Number Information
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NPI Number | 1508260712
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH NORTH HOSPITAL, INC.
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 11700 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46032-4656
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Country | US
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Telephone | 317-688-2072
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Fax | 317-688-2001
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Provider Business Mailing Address
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Address Line | 11700 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46032-4656
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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 | CEO
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Name | JONATHAN GOBLE
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Credential |
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Telephone | 317-688-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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