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General NPI Number Information
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NPI Number | 1831123942
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Entity Type | Organization
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Legal Business Name | MONROE HOSPITAL, LLC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 4011 S MONROE MEDICAL PARK BLVD
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4011
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Country | US
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Telephone | 812-825-1111
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Fax | 812-825-0782
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Provider Business Mailing Address
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Address Line | 4011 S MONROE MEDICAL PARK BLVD
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4011
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Country | US
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Telephone | 812-825-1111
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Fax | 812-825-0782
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Authorized Official
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Title or Position | V. P. FINANCE
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Name | DANNY D. URBAN
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Credential | CFO
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Telephone | 812-825-0891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | IN
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