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General NPI Number Information
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NPI Number | 1003628496
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Entity Type | Organization
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Legal Business Name | SMARTY PANTS DAYCARE INC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5355 N POST RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-1114
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Country | US
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Telephone | 317-993-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 N RITTER AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-4934
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TURISTA JACKSON
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Credential |
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Telephone | 832-744-0385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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