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General NPI Number Information
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NPI Number | 1841985314
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Entity Type | Organization
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Legal Business Name | FRANCISCAN SENIOR HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 1116 N 16TH ST
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City | LAFAYETTE
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State | IN
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Zip | 47904-2119
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Country | US
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Telephone | 765-767-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 N 16TH ST
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City | LAFAYETTE
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State | IN
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Zip | 47904-2119
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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 | SYSTEM DIRECTOR REVENUE INTEGRITY
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Name | DONNA PHALEN
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Credential |
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Telephone | 219-554-4548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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