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General NPI Number Information
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NPI Number | 1821512138
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Entity Type | Organization
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Legal Business Name | DECATUR COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 731 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1328
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Country | US
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Telephone | 812-663-0588
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Fax |
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Provider Business Mailing Address
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Address Line | 720 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CATHERINE KECK
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Credential |
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Telephone | 812-663-1172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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