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General NPI Number Information
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NPI Number | 1053447953
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Entity Type | Organization
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Legal Business Name | JOHN H PAYNE ASSOC INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 2020 WEST 86TH ST 101
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City | INDIANAPOLIS
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State | IN
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Zip | 46260
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Country | US
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Telephone | 317-872-1557
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Fax | 317-872-6042
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Provider Business Mailing Address
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Address Line | 2020 WEST 86TH STREET 101
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City | INDIANAPOLIS
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State | IN
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Zip | 46260
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Country | US
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Telephone | 317-872-1557
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Fax | 317-872-6042
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Authorized Official
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Title or Position | PRESIDENT CLINICAL DIRECTOR
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Name | MR. ROBERT H PAYNE
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Credential |
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Telephone | 317-872-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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