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NPI 1700244779

NPI 1700244779 : HENDRICKS COMMUNITY HOSPITAL : BROWNSBURG, IN

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General NPI Number Information
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    NPI Number           |    1700244779
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    Entity Type          |    Organization 
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    Legal Business Name  |    HENDRICKS COMMUNITY HOSPITAL 
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Dates
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    Enumeration Date     |    02/05/2016
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    Last Update Date     |    02/05/2016
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Provider Practice Location Address
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    Address Line         |    321 N. NORTHFIELD DRIVE SUITE 100
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    City                 |    BROWNSBURG
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    State                |    IN
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    Zip                  |    46112
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    Country              |    US
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    Telephone            |    317-272-7500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8244 E US HIGHWAY 36 SUITE 1100
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    City                 |    AVON
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    State                |    IN
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    Zip                  |    46123-9575
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    Country              |    US
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    Telephone            |    317-272-3688
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     MARIJANE  SMALLWOOD 
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    Credential           |    
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    Telephone            |    317-272-3688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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