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General NPI Number Information
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NPI Number | 1003291196
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Entity Type | Organization
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Legal Business Name | GLOBAL ISOTOPES, LLC
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 14395 BERGEN BLVD
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City | NOBLESVILLE
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State | IN
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Zip | 46060-3305
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Country | US
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Telephone | 317-578-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 14395 BERGEN BLVD
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City | NOBLESVILLE
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State | IN
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Zip | 46060-3305
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Country | US
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Telephone | 317-578-1251
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT & COO
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Name | JOHN ZEHNER
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Credential |
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Telephone | 317-578-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336N0007X
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Taxonomy Name | Nuclear Pharmacy
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License Number | 60006489A
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License Number State | IN
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