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General NPI Number Information
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NPI Number | 1538039706
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Entity Type | Organization
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Legal Business Name | DEACONESS CLINIC, INC.
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 695 W 2ND ST
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City | JASPER
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State | IN
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Zip | 47546-3240
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Country | US
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Telephone | 812-996-5750
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Fax | 812-996-5763
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Provider Business Mailing Address
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Address Line | 695 W 2ND ST
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City | JASPER
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State | IN
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Zip | 47546-3240
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Country | US
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Telephone | 812-996-5750
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Fax | 812-996-5763
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Authorized Official
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Title or Position | CFO
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Name | CHERYL ANNETTE WATHEN
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Credential |
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Telephone | 812-450-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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