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General NPI Number Information
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NPI Number | 1033465943
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Entity Type | Organization
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Legal Business Name | HEARTLAND COMMUNITY SERVICES FOUNDATION
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Dates
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Enumeration Date | 07/28/2012
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 2812 W SUN VALLEY PKWY
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City | MUNCIE
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State | IN
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Zip | 47303-9398
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Country | US
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Telephone | 765-702-9724
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 W SUN VALLEY PKWY
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City | MUNCIE
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State | IN
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Zip | 47303-9398
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Country | US
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Telephone | 765-702-9724
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTOPHER DALE SIMONS
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Credential |
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Telephone | 765-702-9724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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