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General NPI Number Information
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NPI Number | 1629015953
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Entity Type | Organization
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Legal Business Name | CLARK MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1806 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 812-285-5926
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Fax | 812-280-5723
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Provider Business Mailing Address
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Address Line | 1806 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 812-285-5926
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Fax | 812-280-5723
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE CFO
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Name | MR. KIRK WILLIAM STRACK
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Credential |
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Telephone | 812-283-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 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 #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 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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