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General NPI Number Information
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NPI Number | 1063207165
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Entity Type | Organization
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Legal Business Name | RESTORATIVE PERSONAL CARE SERVICES
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 6125 N RURAL ST APT 5322
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-0416
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Country | US
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Telephone | 317-909-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 N KEYSTONE AVE STE 1001140
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2488
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Country | US
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Telephone | 317-809-7914
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Fax |
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Authorized Official
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Title or Position | CFO/PARTNER
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Name | VICTORIA SMITH
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Credential |
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Telephone | 317-809-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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