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General NPI Number Information
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NPI Number | 1790973030
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Entity Type | Organization
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Legal Business Name | SAINT CATHERINE PHYSICIANS SERVICES LLC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 2100 MARKET ST.
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City | CHARLESTOWN
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State | IN
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Zip | 47111
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Country | US
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Telephone | 812-256-7830
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Fax | 812-256-7835
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Provider Business Mailing Address
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Address Line | 2100 MARKET ST STE 106
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City | CHARLESTOWN
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State | IN
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Zip | 47111
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Country | US
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Telephone | 812-256-7830
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Fax | 812-256-7835
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KATHRYN F. PRIBBLE
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Credential |
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Telephone | 812-256-7579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71001236A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01064871A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01036818A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 10128535A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01031544A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01065372A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01044677A
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License Number State | IN
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