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General NPI Number Information
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NPI Number | 1568329274
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH LAFAYETTE
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1701 S CREASY LN RM 1K71
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City | LAFAYETTE
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State | IN
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Zip | 47905-4972
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Country | US
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Telephone | 765-502-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 S CREASY LN RM 1K71
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City | LAFAYETTE
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State | IN
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Zip | 47905-4972
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Country | US
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Telephone | 765-502-4499
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | TERRENCE E WILSON
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Credential |
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Telephone | 765-502-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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