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General NPI Number Information
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NPI Number | 1942428420
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Entity Type | Organization
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Legal Business Name | PARKVIEW HOSPITAL, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 11104 PARKVIEW CIRCLE DRIVE
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City | FORT WAYNE
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State | IN
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Zip | 46845-1704
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Country | US
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Telephone | 260-266-4545
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Fax | 260-266-4549
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Provider Business Mailing Address
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Address Line | 11104 PARKVIEW CIRCLE DRIVE
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City | FORT WAYNE
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State | IN
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Zip | 46845-1704
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Country | US
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Telephone | 260-266-4545
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Fax | 260-266-4549
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JEANNE WICKENS
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Credential |
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Telephone | 260-266-9313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 60000294A
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License Number State | IN
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