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General NPI Number Information
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NPI Number | 1881966158
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Entity Type | Organization
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Legal Business Name | HANCOCK REGIONAL HOSPITAL
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 11050 PRESBYTERIAN DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-2982
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Country | US
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Telephone | 317-823-6841
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Fax | 317-826-8590
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Provider Business Mailing Address
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Address Line | 11050 PRESBYTERIAN DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-2982
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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 | CEO
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Name | ROBERT C KEEN
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Credential | PH.D., FACHE
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Telephone | 317-468-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | IN
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