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General NPI Number Information
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NPI Number | 1972798312
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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 | 09/10/2007
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 519 HARRIET ST
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City | EVANSVILLE
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State | IN
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Zip | 47710-1715
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Country | US
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Telephone | 812-450-7720
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Fax | 812-450-7730
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Provider Business Mailing Address
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Address Line | PO BOX 3407
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City | EVANSVILLE
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State | IN
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Zip | 47733-3407
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Country | US
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Telephone | 812-450-7720
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Fax | 812-450-7730
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Authorized Official
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Title or Position | CFO
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Name | CHERYL A 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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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