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General NPI Number Information
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NPI Number | 1982645404
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Entity Type | Organization
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Legal Business Name | MAJOR HOSPITAL
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 1600 E. LIBERTY STREET
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City | COVINGTON
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State | IN
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Zip | 47932-1715
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Country | US
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Telephone | 765-793-4818
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Fax | 765-793-5047
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Provider Business Mailing Address
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Address Line | 240 FENCL LANE
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City | HILLSIDE
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State | IL
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Zip | 60162-2067
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Country | US
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Telephone | 708-449-1900
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Fax | 708-449-1500
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JOHN HORNER
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Credential |
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Telephone | 317-398-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 05-000128-1
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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