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General NPI Number Information
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NPI Number | 1023046588
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Entity Type | Individual
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Provider Name | ALAN M GOLICHOWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 8091 TOWNSHIP LINE RD STE 108
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2495
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Country | US
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Telephone | 317-415-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 10330 N MERIDIAN ST # 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1024
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 01025356A
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License Number State | IN
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