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General NPI Number Information
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NPI Number | 1003294182
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Entity Type | Organization
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Legal Business Name | TRIHEALTH PHYSICIANS OF INDIANA INC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 10058 COOLEY RD # 6
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City | BROOKVILLE
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State | IN
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Zip | 47012-9509
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Country | US
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Telephone | 765-647-0808
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Fax | 765-647-2728
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Provider Business Mailing Address
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Address Line | 10058 COOLEY RD # 6
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City | BROOKVILLE
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State | IN
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Zip | 47012-9509
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Country | US
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Telephone | 765-647-0808
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Fax | 765-647-2728
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Authorized Official
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Title or Position | SR VP CORP COUNSEL
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Name | DONNA S NIENABER
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Credential |
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Telephone | 513-569-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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