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General NPI Number Information
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NPI Number | 1871519074
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 2651 E DISCOVERY PKWY
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9059
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Country | US
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Telephone | 812-353-5252
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Fax | 812-353-5228
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Provider Business Mailing Address
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Address Line | 601 W 2ND ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2317
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Country | US
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Telephone | 812-353-9557
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Fax | 812-353-5228
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MICHAEL L CRAIG
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Credential |
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Telephone | 812-353-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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