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General NPI Number Information
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NPI Number | 1578621389
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Entity Type | Organization
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Legal Business Name | PUTNAM COUNTY HOSPITAL
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 51 E MARKET ST
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City | CLOVERDALE
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State | IN
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Zip | 46120-8427
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Country | US
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Telephone | 765-795-4242
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Fax | 765-795-4456
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Provider Business Mailing Address
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Address Line | PO BOX 508
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City | CLOVERDALE
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State | IN
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Zip | 46120-0508
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Country | US
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Telephone | 765-795-4242
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Fax | 765-795-4456
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JULIE A BATTIN
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Credential |
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Telephone | 765-795-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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