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General NPI Number Information
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NPI Number | 1902213671
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Entity Type | Organization
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Legal Business Name | SPAHAUTE COMPANY
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 680 E SPRINGHILL DR
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City | TERRE HAUTE
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State | IN
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Zip | 47802-6804
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Country | US
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Telephone | 812-242-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 680 E SPRINGHILL DR
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City | TERRE HAUTE
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State | IN
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Zip | 47802-6804
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Country | US
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Telephone | 812-242-7000
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | MRS. ANGELA MARIE BOYD
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Credential | R.N.
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Telephone | 812-242-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #9
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #10
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #11
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | IN
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Taxonomy #12
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #13
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #14
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #15
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | IN
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