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General NPI Number Information
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NPI Number | 1801088125
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Entity Type | Organization
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Legal Business Name | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 539 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2535
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Country | US
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Telephone | 502-584-2456
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Fax |
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Provider Business Mailing Address
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Address Line | 539 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2535
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Country | US
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Telephone | 502-584-2456
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MR. STEPHEN J SCANNELL
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Credential |
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Telephone | 502-587-4883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number | 150015
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License Number State | KY
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