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General NPI Number Information
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NPI Number | 1689620981
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Entity Type | Organization
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Legal Business Name | ST ANTHONY MEDICAL CENTER
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 1201 S MAIN ST EMERGENCY DEPARTMENT
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City | CROWN POINT
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State | IN
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Zip | 46307-8481
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Country | US
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Telephone | 219-757-6218
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Fax | 219-681-6885
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Provider Business Mailing Address
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Address Line | 1201 S MAIN ST EMERGENCY DEPARTMENT
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City | CROWN POINT
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State | IN
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Zip | 46307-8481
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Country | US
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Telephone | 219-757-6218
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Fax | 219-681-6885
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Authorized Official
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Title or Position | CEO
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Name | DAVID RUSKOWSKI
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Credential |
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Telephone | 219-757-6103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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