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General NPI Number Information
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NPI Number | 1033253216
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Entity Type | Organization
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Legal Business Name | M.S.D. OF WASHINGTON TOWNSHIP
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 8550 WOODFIELD CROSSING BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-2478
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Country | US
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Telephone | 317-205-3332
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Fax | 317-205-3384
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Provider Business Mailing Address
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Address Line | 8550 WOODFIELD CROSSING BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-2478
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Country | US
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Telephone | 317-205-3332
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Fax | 317-205-3384
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Authorized Official
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Title or Position | CHIEF BUSINESS OFFICER
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Name | JOE LICATA
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Credential |
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Telephone | 317-205-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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