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General NPI Number Information
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NPI Number | 1023204146
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Entity Type | Organization
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Legal Business Name | CLARIAN TRANSPLANT INSTITUTE, INC.
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | 550 UNIVERSITY BLVD SUITE 4258A
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5149
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Country | US
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Telephone | 317-278-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 550 UNIVERSITY BLVD SUITE 4258A
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5149
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Country | US
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Telephone | 317-278-3268
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL DIRECTOR
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Name | DR. JOSEPH TECTOR
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Credential | M.D.
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Telephone | 317-278-3268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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