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General NPI Number Information
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NPI Number | 1699926436
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Entity Type | Organization
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Legal Business Name | HOWARD REGIONAL HEALTH SYSTEM - DAR WOUND CARE
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 408 E SOUTHWAY BLVD
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City | KOKOMO
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State | IN
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Zip | 46902-3814
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Country | US
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Telephone | 765-457-2909
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1311
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-1311
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Country | US
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Telephone | 765-453-0802
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Fax | 765-455-4258
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Authorized Official
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Title or Position | CFO/VP FINANCE
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Name | THOMAS M COOK
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Credential |
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Telephone | 765-453-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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