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NPI 1760667885

NPI 1760667885 : UNION HOSPITAL INCORPORATED : MARSHALL, IL

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General NPI Number Information
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    NPI Number           |    1760667885
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNION HOSPITAL INCORPORATED 
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Dates
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    Enumeration Date     |    01/08/2008
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    Last Update Date     |    04/17/2009
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Provider Practice Location Address
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    Address Line         |    410 N 2ND ST 
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    City                 |    MARSHALL
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    State                |    IL
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    Zip                  |    62441-1010
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    Country              |    US
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    Telephone            |    217-826-2361
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    Fax                  |    217-826-8120
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2505 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46206-2505
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    Country              |    US
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    Telephone            |    812-238-7783
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    Fax                  |    812-238-4506
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     KATHY  PALLUTCH 
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    Credential           |    
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    Telephone            |    812-238-7783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0200X
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    Taxonomy Name        |    Radiology Clinic/Center
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    License Number       |    
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    License Number State |    
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