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General NPI Number Information
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NPI Number | 1609689561
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Entity Type | Organization
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Legal Business Name | DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2344 N BURKHARDT RD
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City | EVANSVILLE
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State | IN
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Zip | 47715-2156
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Country | US
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Telephone | 812-403-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 637273
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City | CINCINNATI
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State | OH
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Zip | 45263-7273
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Country | US
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Telephone | 812-450-6815
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINA M. RYAN
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Credential |
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Telephone | 812-842-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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