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General NPI Number Information
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NPI Number | 1003025925
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Entity Type | Organization
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Legal Business Name | RILEY HOSPITAL FOR CHILDREN
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 702 BARNHILL DR ROOM 4340
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-274-8784
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Fax |
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Provider Business Mailing Address
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Address Line | 702 BARNHILL DR ROOM 4340
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-274-8784
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Fax |
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Authorized Official
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Title or Position | FELLOW
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Name | YI ZENG
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Credential | M.D, PHD
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Telephone | 317-274-8784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11013095A
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License Number State | IN
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