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General NPI Number Information
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NPI Number | 1720229792
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH LAPORTE HOSPITAL, INC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 1007 LINCOLNWAY
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City | LA PORTE
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State | IN
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Zip | 46350-3201
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Country | US
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Telephone | 219-326-2591
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Fax | 219-326-2578
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Provider Business Mailing Address
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Address Line | 1007 LINCOLNWAY
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City | LA PORTE
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State | IN
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Zip | 46350-3201
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Country | US
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Telephone | 219-326-2591
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Fax | 219-326-2578
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. CARRIE NICOLE LOEFFLER
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Credential | PHARM D, RPH, BS, BA
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Telephone | 219-326-2591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 60002029A
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License Number State | IN
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