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General NPI Number Information
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NPI Number | 1982681748
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Entity Type | Organization
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Legal Business Name | ST. VINCENT HEART CENTER OF INDIANA, LLC
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 10580 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46290-1028
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Country | US
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Telephone | 317-583-5001
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Fax | 317-583-5405
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Provider Business Mailing Address
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Address Line | 10580 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1028
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Country | US
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Telephone | 317-583-5001
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Fax | 317-583-5405
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LORI SHANNON
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Credential |
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Telephone | 317-583-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 06-003284-2
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License Number State | IN
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