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General NPI Number Information
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NPI Number | 1982653044
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Entity Type | Organization
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Legal Business Name | MUNSTER MEDICAL RESEARCH FOUNDATION INC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 901 MACARTHUR BLVD ANESTHESIA DEPARTMENT
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-836-7040
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Fax | 219-513-1127
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Provider Business Mailing Address
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Address Line | 901 MACARTHUR BLVD ANESTHESIA DEPARTMENT
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City | MUNSTER
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State | IN
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Zip | 46321-2901
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Country | US
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Telephone | 219-836-7040
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Fax | 219-513-1127
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Authorized Official
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Title or Position | REGIONAL DIRECTOR PATIENT FINANCIAL
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Name | MRS. CHAR KULLERSTRAND
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Credential |
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Telephone | 219-934-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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