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General NPI Number Information
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NPI Number | 1710774484
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Entity Type | Organization
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Legal Business Name | DEACONESS HOSPITAL, INC.
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 5001 HEALTHY WAY
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City | EVANSVILLE
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State | IN
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Zip | 47715-1181
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Country | US
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Telephone | 812-450-7143
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 632281
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City | CINCINNATI
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State | OH
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Zip | 45263-2281
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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Authorized Official
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Title or Position | CFO
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Name | CHERYL ANNETTE WATHEN
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Credential |
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Telephone | 812-450-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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