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General NPI Number Information
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NPI Number | 1790903946
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Entity Type | Organization
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Legal Business Name | VINCENNES YMCA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2010 COLLEGE AVE
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City | VINCENNES
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State | IN
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Zip | 47591-5631
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Country | US
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Telephone | 812-882-3828
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Fax | 812-882-3947
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Provider Business Mailing Address
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Address Line | 2010 COLLEGE AVE
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City | VINCENNES
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State | IN
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Zip | 47591-5631
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Country | US
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Telephone | 812-882-2285
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Fax | 812-882-2186
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Authorized Official
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Title or Position | CEO
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Name | MRS. BRENDA CUMMINGS
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Credential |
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Telephone | 812-882-3828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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