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General NPI Number Information
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NPI Number | 1801336045
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Entity Type | Organization
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Legal Business Name | JEWISH HOSPITAL AND ST MARY'S HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 2020 NEWBURG RD
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City | LOUISVILLE
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State | KY
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Zip | 40205-1803
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Country | US
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Telephone | 502-479-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 250 E LIBERTY ST 5TH FLOOR
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City | LOUISVILLE
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State | KY
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Zip | 40202-1530
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Country | US
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Telephone | 502-569-7924
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Fax | 502-587-4904
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Authorized Official
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Title or Position | VICE PRESIDENT, FINANCE
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Name | BOB STELTENPOHL
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Credential |
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Telephone | 502-587-4691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07814
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License Number State | KY
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