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General NPI Number Information
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NPI Number | 1699670604
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Entity Type | Organization
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Legal Business Name | ST JOSEPH HEALTH SYSTEM LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 6515 STELLHORN RD
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City | FORT WAYNE
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State | IN
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Zip | 46815-5436
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Country | US
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Telephone | 260-479-3001
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Fax | 260-479-3002
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Provider Business Mailing Address
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Address Line | 702 VAN BUREN ST
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City | FORT WAYNE
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State | IN
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Zip | 46802-3697
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Country | US
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Telephone | 260-425-3000
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Fax | 260-425-3222
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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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 | NULL
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