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General NPI Number Information
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NPI Number | 1902897937
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Entity Type | Organization
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Legal Business Name | DEKALB MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1316 E 7TH ST
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City | AUBURN
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State | IN
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Zip | 46706-2523
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Country | US
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Telephone | 260-925-4600
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Fax | 260-925-4733
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Provider Business Mailing Address
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Address Line | 10501 CORPORATE DR
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City | FORT WAYNE
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State | IN
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Zip | 46845-1700
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Country | US
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Telephone | 260-437-7558
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Fax | 260-925-4733
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Authorized Official
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Title or Position | CFO
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Name | MRS. JESSICA LEE-HANSEN
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Credential |
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Telephone | 312-388-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 60000349A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01039551A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002422A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 10-005041-1
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License Number State | IN
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