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General NPI Number Information
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NPI Number | 1548327307
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Entity Type | Organization
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Legal Business Name | JAY COUNTY HOSPITAL
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1150 S MAIN ST
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City | DUNKIRK
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State | IN
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Zip | 47336-9701
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Country | US
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Telephone | 765-768-6065
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Fax | 765-768-6006
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Provider Business Mailing Address
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Address Line | 1150 S MAIN ST
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City | DUNKIRK
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State | IN
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Zip | 47336-9701
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Country | US
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Telephone | 765-768-6065
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Fax | 765-768-6006
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Authorized Official
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Title or Position | CFO
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Name | DON E MICHAEL
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Credential |
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Telephone | 260-726-9027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 07-005029
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License Number State | IN
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