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General NPI Number Information
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NPI Number | 1588848246
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Entity Type | Organization
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Legal Business Name | HOWARD COMMUNITY HOSPITAL BOARD OF
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 3510 S LAFOUNTAIN ST
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City | KOKOMO
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State | IN
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Zip | 46902-3803
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Country | US
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Telephone | 765-864-8765
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Fax | 765-864-8762
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-0096
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Country | US
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Telephone | 765-453-8040
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Fax | 765-864-6786
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Authorized Official
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Title or Position | CFO
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Name | MR. THOMAS M COOK
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Credential |
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Telephone | 765-453-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01031991
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License Number State | IN
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