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General NPI Number Information
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NPI Number | 1700264967
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Entity Type | Organization
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Legal Business Name | DAVIESS COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 01/02/2021
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Provider Practice Location Address
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Address Line | 421 E VAN TREES ST
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City | WASHINGTON
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State | IN
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Zip | 47501-2948
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Country | US
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Telephone | 812-254-2203
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Fax | 812-254-2033
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Provider Business Mailing Address
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Address Line | PO BOX 760
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City | WASHINGTON
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State | IN
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Zip | 47501-0760
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Country | US
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Telephone | 812-254-2760
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Fax | 812-254-8636
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MR. ANTHONY SHOWALTER
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Credential |
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Telephone | 812-254-2760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15-005056-1
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License Number State | IN
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