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General NPI Number Information
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NPI Number | 1588143275
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Entity Type | Organization
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Legal Business Name | GIBSON GENERAL HOSPITAL, INC
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 1808 SHERMAN DR
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City | PRINCETON
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State | IN
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Zip | 47670-1043
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Country | US
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Telephone | 812-385-9420
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Fax | 812-385-9426
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Provider Business Mailing Address
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Address Line | PO BOX 1197
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City | EVANSVILLE
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State | IN
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Zip | 47706-1197
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Country | US
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Telephone | 812-385-9420
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Fax | 812-385-9426
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Authorized Official
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Title or Position | VICE PRESIDENT & CNO
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Name | LOIS MORGAN
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Credential |
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Telephone | 812-385-9237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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