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General NPI Number Information
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NPI Number | 1548590847
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Entity Type | Organization
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Legal Business Name | GOSHEN HOSPITAL ASSOCIATION INC
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 200 HIGH PARK AVE
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City | GOSHEN
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State | IN
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Zip | 46526-4810
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Country | US
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Telephone | 574-364-2803
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Fax | 574-364-2804
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Provider Business Mailing Address
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Address Line | PO BOX 139
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City | GOSHEN
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State | IN
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Zip | 46527-0139
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Country | US
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Telephone | 574-364-2803
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Fax | 574-364-2804
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | PATRICK SCHNEIDER
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Credential |
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Telephone | 574-364-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60001389A
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License Number State | IN
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