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General NPI Number Information
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NPI Number | 1609964287
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1515 N MADISON AVE
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City | ANDERSON
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State | IN
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Zip | 46011-3453
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Country | US
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Telephone | 765-298-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 4416 E 200 S
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City | ANDERSON
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State | IN
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Zip | 46017-9728
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Country | US
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Telephone | 765-378-5084
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CAROL LYNN WHITESEL
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Credential | RN
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Telephone | 765-298-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33000495A
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License Number State | IN
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