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General NPI Number Information
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NPI Number | 1942183769
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Entity Type | Organization
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Legal Business Name | DEACONESS HOSPITAL INC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 801 FELSTEAD RD
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City | EVANSVILLE
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State | IN
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Zip | 47712-3637
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Country | US
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Telephone | 812-471-4611
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Fax | 812-471-4643
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Provider Business Mailing Address
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Address Line | PO BOX 632281
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City | CINCINNATI
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State | OH
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Zip | 45263-2281
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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Authorized Official
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Title or Position | CFO
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Name | CHERYL ANNETTE WATHEN
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Credential |
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Telephone | 812-450-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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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